Transposition of the posterior tibial tendon in spastic equinovarus

Eleven posterior tibial tendon transfers were performed in eight patients with spastic equinovarus with an average follow-up of 3 years (range 1 1/2-6 1/2 years). The main goals--to eliminate the need for braces and to improve gait--were achieved in all patients. An adequate operation technique kept the well-known postoperative complications, e.g., valgus and calcaneal deformity, to a minimum.