Abstract:

BACKGROUND: It has a variety of treatments for equinovarus in spastic cerebral palsy, including physical therapy, orthotic therapy, systemic anti-spasticity drug therapy, local intramuscular injection of botulinum toxin type A and a variety of surgical operations. These treatments aim at different severity of deformities and different age in children patients, and each has its own merits.
OBJECTIVE: To investigate the therapeutic effect of Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat equinovarus in spastic cerebral palsy.
METHODS: Twenty-two children with spastic cerebral palsy combined with equinovarus were collected from 2012 to 2014, and then these children were subject to Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition. Postoperative plaster external fixation was done for 6 weeks, and then rehabilitation training was given.
RESULTS AND CONCLUSION: All the 22 patients were followed for an average of 1-2 years, and then were evaluated according to the degree of patient’s satisfaction and the degree of foot deformity. Satisfactory results were obtained from all the patients. Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat spastic cerebral palsy combined with equinovarus is a good method, and it is characterized as good appearance of the ankle and favorable foot function.

Key words: Clubfoot, Cerebral Palsy, Achilles Tendon, Surgical Procedures, Operative