TY - JOUR
T1 - Heel Cord Advancement in Children with Spastic Equinus Deformity
AU - Walker, Janet L.
AU - Stevens, David B.
AU - Clark, Nancy Stanley
AU - Opfell, Andrew R.
PY - 1994/10
Y1 - 1994/10
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0028036493&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028036493&partnerID=8YFLogxK
U2 - 10.1177/107110079401501003
DO - 10.1177/107110079401501003
M3 - Article
C2 - 7834060
AN - SCOPUS:0028036493
SN - 1071-1007
VL - 15
SP - 536
EP - 540
JO - Foot and Ankle International
JF - Foot and Ankle International
IS - 10
ER -