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Supple Equinus, Equinovarus, and Drop Foot Surgical Strategies

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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.

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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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Brandão, R.A., McGann, M.R., Bull, P.E. (2019). Supple Equinus, Equinovarus, and Drop Foot Surgical Strategies. In: Hyer, C., Berlet, G., Philbin, T., Bull, P., Prissel, M. (eds) Essential Foot and Ankle Surgical Techniques. Springer, Cham. https://doi.org/10.1007/978-3-030-14778-5_31

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  • DOI: https://doi.org/10.1007/978-3-030-14778-5_31

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-14777-8

  • Online ISBN: 978-3-030-14778-5

  • eBook Packages: MedicineMedicine (R0)

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