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  1. May 31, 2024 · After securing hemostasis and cutting the bone, the adductor muscles are secured to the lateral cortex of the femur via drill holes, under normal resting muscle tension. The anterior and posterior muscle flaps are also secured to the residual femur via drill holes. Alternatively, the muscle groups can be affixed to the periosteum of the femur.

  2. May 31, 2024 · Sensory neuropathy with loss of protective sensation allows abnormal mechanical forces to cause painless injury to the skin or asymptomatic bone fracture [13, 16]. Motor nerve involvement causes muscle weakness and atrophy with foot imbalance leading to clawing of the toes, a high arched foot or high pressure of the plantar surface [17, 18].

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