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The Eden-Lange procedure is a surgical intervention primarily indicated for the treatment of certain types of congenital deformities affecting the foot, particularly those related to conditions such as clubfoot. This operation is designed to address both the bony and soft tissue components of foot deformities to achieve proper alignment and function. During the procedure, the surgeon typically begins by making an incision on the medial aspect of the foot, carefully dissecting down to expose the involved structures. One of the key aspects of the Eden-Lange procedure is the careful release of the tight ligaments and tendons that contribute to the deformity, particularly the posterior tibial tendon and the deep fascia of the foot. The procedure may involve realigning the talus and the calcaneus bones to restore their anatomical relationships. Once the bony and soft tissue components have been adequately addressed, the surgeon often stabilizes the foot in its newly corrected position using internal fixation techniques or external fixators. The placement of screws or plates may be necessary to ensure proper alignment during the healing process. Postoperatively, the foot is typically immobilized in a cast or splint to allow for adequate healing and to maintain the correction achieved during the surgery. Patients usually undergo a period of rehabilitation that includes physical therapy to regain strength and mobility in the affected foot. The Eden-Lange procedure is known for its ability to provide a stable and functional foot, allowing patients to return to normal activities. The success of this procedure largely depends on proper patient selection and adherence to postoperative rehabilitation protocols. Complications, although rare, can include infection, stiffness, or recurrence of the deformity, making it essential for patients to be closely monitored during the recovery process. Given its focus on correcting complex deformities, the Eden-Lange procedure requires a high level of skill and expertise from the orthopedic surgeon, as the intricacies of the foot's anatomy must be carefully navigated to ensure the best possible outcome for the patient. The procedure has evolved over the years, benefiting from advances in surgical techniques and materials, which have improved the overall success rates and patient satisfaction. Clinical studies have shown that patients who undergo the Eden-Lange procedure typically report significant improvements in foot function, alignment, and overall quality of life postoperatively. In summary, the Eden-Lange procedure represents a vital surgical option for addressing challenging foot deformities, providing patients with the opportunity for enhanced mobility and lifestyle after surgery. As with any surgical intervention, achieving optimal outcomes requires a comprehensive approach that includes thorough preoperative assessment, meticulous surgical technique, and dedicated postoperative care.
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