The first step is to free the distal end of the tendon with the scissors. The physician must make sure to get the full length distally. Grasp it with a kocher and traction it firmly. Many of the bands can be released with the traction and by blunt finger dissection.
The main band that goes to the medial head of the gastrocnemius will usually have to be cut with the scissors (Fig. 6.34). Pull firmly on the tendon and cut away from the tendon (to avoid cutting the tendon with the scissors). The tendon should not retract proximally if all the bands are cut.
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