[Treatment of spastic equinovarus deformity. Apropos of 60 operations]

The authors evaluate the efficiency of the surgical technique of split anterior tibialis transfer, describe the long term functional results of the operation, and discuss the indications of this method of treatment. The results were very satisfactory: after surgery, 46 of 53 patients had normal shoes, 33 patients had improvement of their level of autonomy. The morbidity was very low, no patient had aggravation of the neurologic disease or general complications. The authors conclude that this operation should be employed more frequently in these disabled patients who can find definite improvement.