Abstract
Aims. To examine the results of treatment for patients with a non-stable form of equino-plano-valgus foot deformity in cerebral palsy with the use of corrective osteotomy of the calcaneus. To further analyze the errors and complications that occurred in patients treated with this technique.
 Materials and methods. From 2006 to 2014, 64 patients (103 feet) aged 3 to 17 years were operated using the described method of calcaneus correcting osteotomy. The equinus contracture was eliminated by transection of the gastrocnemius muscle tendon and extending achilloplastic surgery. The abnormal muscle tone was reduced either by administering the drug Dysport into the gastrocnemius muscle or by selective neurotomy of the tibial nerve.
 Results. The analysis revealed that there were good results for 75%, satisfactory results for 18%, and unacceptable results for 7% of patients. The unacceptable results of treatment were due to several technical and tactical errors, which were grouped and analyzed.
 Conclusion. The analysis of errors and complications of calcaneus corrective osteotomy for patients with cerebral palsy with a mobile form of talipes equinoplanovalgus will enable their future avoidance and improvement of the treatment quality.
Highlights
The equinus contracture was eliminated by transection of the gastrocnemius muscle tendon and extending achilloplastic surgery
The analysis revealed that there were good results for 75%, satisfactory results for 18%, and unacceptable results for 7% of patients
Implications of subtalar joint anatonic variation in calcaneal lenthening osteotomy
Summary
Изучить результаты лечения пациентов с мобильной формой эквино-плано-вальгусной деформации стопы при детском церебральном параличе с использованием корригирующей остеотомии пяточной кости по авторской методике. Имевших место при лечении пациентов с детским церебральным параличом с мобильной формой эквино-плано-вальгусной деформации стопы с применением корригирующей остеотомии пяточной кости, позволит избежать их в дальнейшем и повысить качество лечения данной группы больных. Errors and complications in surgical treatment of non-stable equino-plano-valgus foot deformity in patients with cerebral palsy, with use of the calcaneus correcting osteotomy technique. To examine the results of treatment for patients with a non-stable form of equino-plano-valgus foot deformity in cerebral palsy with the use of corrective osteotomy of the calcaneus. The equinus contracture was eliminated by transection of the gastrocnemius muscle tendon and extending achilloplastic surgery. Травматология и восстановительная хирургия детского возраста. – 2017. – Т. 5. – Вып. 1. – С. 34–38
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