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Journal of Bone and Joint Surgery, 1958;40:1359-1379.
© 1958 by The Journal of Bone and Joint Surgery, Inc

The Correction of Equinus Deformity in Cerebral Palsy

HENRY H. BANKS M.D.1 and WILLIAM T. GREEN M.D.1

1 Department of Orthopaedic Surgery, Harvard Medical School; Children's Medical Center, Boston

Orthopaedic procedures for the correction of equinus deformity are effective measures in the treatment of spastic cerebral palsy. The best operative procedure for the correction of fixed equinus deformity in our series was a sliding lengthening of the heel cord. Adequate postoperative management of these patients is essential in order to obtain a good result. Long-term support out of equinus position at night during the growing period, and an exercise regimen to develop balanced muscle function between agonist and antagonist are essential to an effective result.

Whereas stabilization of the foot is an effective measure in correcting varus or valgus deformity and simplifying the control of the foot in older individuals, it should not be used as a procedure to correct severe equinus deformity.


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