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Supple Equinus, Equinovarus, and Drop Foot Surgical Strategies

  • Roberto A. Brandão
  • Maria Romano McGann
  • Patrick E. Bull
Chapter

Abstract

Equinovarus and drop foot deformities can be challenging to patients and physicians alike. The treatment of these complex pathologies aims to establish a plantigrade, painless, braceable, and ulcer-free foot and can be performed either in a staged or acute manner. Both neurologic and biomechanical etiologies have been implicated in these conditions; therefore both must be addressed carefully perioperatively. Surgical management of these problems may require a combination of tendon lengthening, tendon transferring, corrective osteotomies, and arthrodeses. Supple equinus contracture has been implicated in a myriad of foot and ankle conditions. Consistent and accurate clinical assessment of equinus cannot be overemphasized. In this chapter we focus on addressing these supple deformities with joint-preserving and tendon-balancing techniques.

Keywords

Achilles contracture Equinus Neurologic disorders Residual clubfoot Varus deformity 

Abbreviations

EDL

Extensor digitorum longus

EHL

Extensor hallucis longus

GR

Gastrocnemius recession

GSR

Gastrocsoleus recession

PT

Posterior tibial

TA

Tibialis anterior

TAL

Tendo-Achilles lengthening

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Roberto A. Brandão
    • 1
  • Maria Romano McGann
    • 2
  • Patrick E. Bull
    • 3
  1. 1.The Centers for Advanced OrthopaedicsOrthopaedic Associates of Central Maryland DivisionCatonsvilleUSA
  2. 2.Romano Orthopaedic CenterOak ParkUSA
  3. 3.Orthopedic Foot & Ankle CenterWorthingtonUSA

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