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THE MANAGEMENT OF DEFORMITY AND PARALYSIS OF THE FOOT IN MYELOMENINGOCELE

W. J. W. Sharrard 1; and I. Grosfield 2

1 Sheffield, England, the Children's Hospital and the University Department of Orthopaedics, Sheffield, England
2 Toronto, Canada the Children's Hospital and the University Department of Orthopaedics, Sheffield, England

1. Deformities of the foot in children with myelomeningocele are described and classified. The results of a policy of operative correction of deformity in 148 patients all of whom had had at least one operation on the foot between 1947 and 1965 are described.

2. In 241 feet in which there were deformities 433 operations were performed, including tenotomies, soft-tissue divisions, tendon transfers and bony procedures. At the time of review successful correction of deformity had been obtained in 81 per cent with a plantigrade foot that could bear weight safely, and with a distribution of muscle activity that required minimal external support and presented the least liability to recurrent deformity.

3. The management of individual deformities is described and the causes of failure are analysed and discussed.
(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General