[The treatment of the feet in meningomyelocele]

Experiences in management of paralytic foot deformities in 30 children and adolescents with myelomeningoceles are reported. Suitable reconstruction of foot form can be achieved regularly with the help of early manipulation, walking plasters and orthopaedic surgery. However, the impairment of sensation remains unchanged. The polypropylene solid ankle orthosis has proved particularly useful for maintaining good weight-bearing abilities of the foot combined with partial load transfer to sensitive skin regions below the knee joint.