[Surgical treatment of spastic flatfoot using Gorynski's method]

After failure analysis in so far applied surgical treatment of spastic flatfoot the technique of synthesis of already existing procedures have been offered. Foot alignment is achieved by the reduction of the talus in relation to the calcaneus that is secured by bony graft after Grice and front-rearfoot alignment with Kirschner's wire fixation through calcaneus to talus and secondly cuboid to calcaneus. The muscular balance is provided by elongation of the calcaneal tendon and transposition of peroneal brevis tendon into tendon of tibialis posterior muscle. In the after treatment long cast immobilization is after 3 weeks replaced by walking cast for next 9 weeks. This management proved to be clinically successful for 15 years.