Heel cord advancement in children with spastic equinus deformity.

Abstract:

:Heel cord advancement has been advocated for treatment of spastic equinus deformity. Transferring the gastrosoleus anteriorly weakens it by changing the lever arm rather than the resting length. A retrospective review of 90 children with 122 limbs undergoing heel cord advancement revealed 11% excellent, 53% good, and 35% poor results (average follow-up 9.7 years). The results were statistically better in diplegics and community walkers. The better results in previous studies may be due to procedure modifications and shorter follow-up. Since we obtain comparable results with simpler heel cord lengthenings, we no longer do heel cord advancement.

journal_name

Foot Ankle Int

authors

Walker JL,Stevens DB,Clark NS,Opfell AR

doi

10.1177/107110079401501003

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

536-40

issue

10

eissn

1071-1007

issn

1944-7876

journal_volume

15

pub_type

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