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EQUINUS DEFORMITY IN CEREBRAL PALSY

A Comparison between Elongation of the Tendo Calcaneus and Gastrocnemius Recession

W. J. W. Sharrard 1; and S. Bernstein 2

1 Children's Hospital, Sheffield, and the University Department of Orthopaedics of Sheffield, England
2 Children's Hospital, Sheffield, and the University Department of Orthopaedics of Sheffield, England; Orthopaedic Research and Education Foundation Carlberg Travelling Fellow

1. Correction of equinus deformity in cerebral palsy either by elongation of the tendo calcaneus or by gastrocnemius recession gives satisfactory results without splintage or bracing after operation.

2. Gastrocnemius recession is the operation of choice in paraplegic spastic cerebral palsy, and wherever possible in tetraplegic cerebral palsy. In hemiplegia the whole of the triceps surae is usually involved, and elongation of the tendo calcaneus is almost always needed.

3. Correction at operation should aim to result in a mild degree of equinus deformity at the end of the growth period in hemiplegic spastic cerebral palsy. Over-enthusiastic gastrocnemius recession can lead to excessive weakness of the calf in some patients.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General