Tarsectomy

That no less than eleven different forms of tarsectomy have been described for the cure of club-foot would seem to show that surgeons have not found any one of these operations giving perfectly satisfactory results.

In the rigid foot with fixed deformity, a wedge tarsectomy or triple arthrodesis with tibialis posterior transfer is necessary.

Transverse incisions are used best for wedge tarsectomy.

An important advantage of using Whitnall's sling procedure or the superior tarsectomy modification is that the other alternatives are still available if these procedures should give unacceptable results.

One of the more radical treatments, tarsectomy, removes the eyelid's cartilage plate and the result can be inability to fully elevate the lids, just as you feel now.

As parents are often opposed to surgery on the normal eye, considerable improvement may be obtained and further surgery deferred or avoided if a maximal aponeurotic resection (Whitnall's sling) procedure with a superior tarsectomy is performed first.