Abstract
The pre and postoperative electromyographycal and ADL evaluations were made to the hemiplegic patients who had had spastic equinovarus, hammer toe deformities.Vulpius's procedure, tenotomies of flexor hallux longus et digitorum longus, lateral transfer of tibialis anterior and these combination were the method of choice used for these corrective operations.One of the results showed flexor synergy which had been sheltered behind extension synergy had become predominant, resulting in somewhat resemblance to the normal gait pattern, improving pt's ADL besides tenodesis effect made by these methods.There are, however, lots of factors influencing the results such as the degree of spasticity, hip-knee joint contracture.
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