Surgical treatment for equinus feet deformity in pre-school children with infantile cerebral paralysis

The treatment results of 184 children under school age with infantile cerebral paralysis and equinus deformity were analysed. There were 268 feet with equinus deformity. Out of 312 operations 137 (44%) Str operations, 63 (20,3%) aponeurotic elongation of gastrocnemical muscle, 56 (18,1%) Z-shape elongation of gastrocnemical muscle and 14 (4,5%) achilloplasty by Hoke-method were performed. The indications to apply the surgical management depending on the orthopedic and neurologic status as well as the methods of aponeurotic elongation of gastrocnemical muscle are presented. Excellent and good results were achieved in 86% of cases, recurrence of deformity was observed in 8% of cases. Minimum trauma, high efficiency, organ-sparing pattern of aponeurotic elongation of gastrocnemical muscle makes this procedure the method of choice in children under school age.