Equinus correction during multilevel surgery in adults with cerebral palsy

摘要

Equinus foot deformity constitutes a common gait disorder in ambulatory adults with bilateral spastic cerebral palsy (BSCP). Tightness of the calf muscles and limited range of motion lead to instability and unphysiological load of adjacent joints during stance phase [1-3]. Multiple procedures for the correction of equinus deformity in children with cerebral palsy have been described primarily for fixed equinus [4,5]. Surgical treatment for equinus gait in children is successful, if multilevel surgery is done in combination with orthoses and rehabilitation [4]. The outcome after intramuscular aponeurotic lengthening in the context of single-event multilevel surgery (SEMLS) in adulthood has not been investigated.