Surgical treatment of spastic equino-varus deformity

Spastic equino-varus deformity is one of more frequent deformation detected in cerebral palsy. Between 1994 and 2000, 45 feet in 34 patient were treated by split posterior tibial transfer to peroneus brevis combined with an Achilles tendon lengthening or gastrocnemius recession described by Vulpius. The average time interval from the surgical treatment to follow up was 3 (1/2) years (range 4-96 months). The results of examination were grouped according to the Green's classification. Excellent results 68,4%, good results 20,1% and poor results 11,5%. To our opinion this method gives good results and it is recommended one.