Heel Cord Advancement in Children with Spastic Equinus Deformity

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

doi:10.1177/107110079401501003

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 journal › Article › peer-review

2 Scopus citations

Abstract

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 language	English
Pages (from-to)	536-540
Number of pages	5
Journal	Foot and Ankle International
Volume	15
Issue number	10
DOIs	https://doi.org/10.1177/107110079401501003
State	Published - Oct 1994

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Heel Cord Advancement in Children with Spastic Equinus Deformity",

abstract = "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.",

author = "Walker, {Janet L.} and Stevens, {David B.} and Clark, {Nancy Stanley} and Opfell, {Andrew R.}",

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AU - Stevens, David B.

AU - Clark, Nancy Stanley

AU - Opfell, Andrew R.

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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.

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Heel Cord Advancement in Children with Spastic Equinus Deformity

Abstract

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