Heel Cord Advancement in Children with Spastic Equinus Deformity

Janet L. Walker, David B. Stevens, Nancy Stanley Clark, Andrew R. Opfell

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Heel cord advancement has been advocated for treatment of spastic equinus deformity. Transferring the gastrosoleus anteriorly weakens it by changing the lever arm rather than the resting length. A retrospective review of 90 children with 122 limbs undergoing heel cord advancement revealed 11% excellent, 53% good, and 35% poor results (average follow-up 9.7 years). The results were statistically better in diplegics and community walkers. The better results in previous studies may be due to procedure modifications and shorter follow-up. Since we obtain comparable results with simpler heel cord lengthenings, we no longer do heel cord advancement.

Original languageEnglish
Pages (from-to)536-540
Number of pages5
JournalFoot and Ankle International
Issue number10
StatePublished - Oct 1994

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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