Functional Outcomes of Correction Of Spastic Equinus Deformity by Distal Gastrocnemius Recession

Dr. Ganesh Yadav; Dr. Anil Kumar Gupta; Prof. V.P. Sharma; Prof. A.K. Agarwal; Dr. Dileep Kumar

Volume : V, Issue : V, May - 2016

Functional Outcomes of Correction Of Spastic Equinus Deformity by Distal Gastrocnemius Recession

Dr. Ganesh Yadav, Dr. Anil Kumar Gupta, Prof. V. P. Sharma, Prof. A. K. Agarwal, Dr. Dileep Kumar

Abstract :

BACKGROUND: Spastic equinus contracture is the most common deformity of the lower extremity in children with cereal palsy. The optimal treatment of the ankle equinus is a widely debated topic and procedure selection is often based on surgeon preference due to lack of consensus regarding the superiority of a single procedure. AIM OF THE STUDY: To assess the outcome parameters of correction of equinus deformity by Gastrocnemius Recession MATERIALS AND METHODS: A total of 11 legs were included in the study with mean follow up of one year. The parameters being evaluated were popliteal angle, ankle dorsiflexion and plantarflexion range, Modified Ashworth score, GMFCS, motor power and pain score. RESULT AND CONCLUSION: The results of surgical treatmentwere satisfactory. The mean followup was 12.2 years. Mean Passive ankle dorsiflexion increased significantly after the treatment being 12 � at 6 weeks.Evaluation of spasticity showed reduction of at least one grade in 18.18% of patients. GMFCS level showed insignificant change (p>0.05). Mean pain score was 2.27 at day 1. The current study reports good short-term results following GR in appropriately selected children with spastic equinus deformity