Quote from: warrior on May 30, 2018, 03:04:46 PMI do not agree on what you say, the intervention to the Achilles tendon is necessary after 3 - 4 cm because this tendon does not naturally extend too much, so if you do a stretch of 5-6-7-8 cm of tibia you will remain on tiptoe, the intervention consists in thinning the tendon in order to make it more elastic.
You dont have any idea what atl is.
They dont just thin your tendon.
They cut it in a z cut and they reattach both of its edges to a new length which most of the time is longer at least 3cm. All the inside gap is filled with scar tissue which is comoletely unelastic and more weak than real tendon. This will be your new "tendon"
Also, except from scar tissue, the new length leads to permanent and major deficits in power and tension which means that your balance will be way off and your push off power so reduced that even jumping and running will be almost impossible.
Thats what atl is, not just a thinner tendon but a thinner, longer tendon full of scar tissue which makes sokeus-gastrocnemius tension, the most important function of any muscle, completely off.
All doctors that perform atl obviously have no idea how catastrophic is otherwise they would have stopped doing it like all respectable doctors.
But that doesnt mean that the patient should suffer for the lack of knowledge the doctor has.
Also, tendon is very elastic that with walking and standing most patients will be completely ok without equinus up to 6-6.5 cm tibua lemgthening.
But even equinus is 1000 more preferable than almost useless legs that dont have the power for even everyday things.
It is my duty and all of patients that underwent atl to prevent other patients to even think about it.
But if you still do it then the responsibility for your condition will be completely yours.