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Tenotomy is the cutting of a tendon. This and related procedures are also called tendon release, tendon lengthening, and heel-cord release (for tenotomy of the Achilles tendon). Tenotomy is performed in order to lengthen a muscle that has developed improperly, or become shortened and is resistant to stretch.
Osteotomy. Osteotomy (see the images below) is performed to correct structural deformities associated with the cuneiform, metatarsal, and phalanges of the first ray and typically includes a lateral release and capsulorraphy. These procedures should be performed at the level of the deformity.