Introduction Most widespread clinical gait analysis protocols for lower limb kinematics provide information about the ankle motion only in the sagittal plane. Behavior of the foot in the coronal plane during gait is usually determined just through the measure of the foot angle of progression. In the clinical practice most of the patients, particularly with upper motor disease, present a complex...

Clinical assessment of equinus in children before and after operation was made over a twenty-year period (1958-1978), and three groups were defined. Forty-three muscles (Group I) had abnormal shortening without spasticity and the deformity progressed steadily despite immediate improvement after operation; this was considered to be the result of a lack of muscle growth during bone growth. Forty-...

We present a 36-year-old man with a severe pes equinus deformity of the ankle and an intractable ulcer over the Achilles tendon after a 4th-degree burn. He underwent a one-stage reconstructive surgical procedure using an anteromedial thigh flap with its vascularised fascia. After lengthening of the Achilles tendon and posterior release of the ankle, the anteromedial thigh fasciocutaneous flap w...

Clubfeet with rigid equinus, severe plantarflexion of all the metatarsals, a transverse crease in sole foot, short and hyperextended great toe, forefoot adduction supination deep posterior are categorized under heading complex clubfeet, which do not respond to conventional Ponseti technique. Rather treatment such feet method results development secondary deformities thus failure treatment. Henc...

The aim of the study is to investigate whether the net nondimensional oxygen utilization scheme is able to detect postoperative improvement in the energy cost of walking in children with cerebral palsy and to compare it with a body mass normalization scheme. We evaluated 10 children with spastic cerebral palsy before and 9 months after equinus deformity surgery. Participants walked at a given s...

OBJECTIVE To investigate the characteristics of foot deformities in patients with Charcot-Marie-Tooth (CMT) disease compared with normal persons according to severity of disease. METHOD Sixty-two patients with CMT disease were recruited for this study. The normal control group was composed of 28 healthy people without any foot deformity. Patients were classified into a mild group and a modera...

Equinus gait, defined as walking on one forefoot or both forefeet, has long been considered an undesirable characteristic in patients with a variety of neuromuscular disorders. In the equinus gait, the heel contact pattern is changed according to the severity, because an excessive ankle plantar flexion instigates rearfoot lifting in patients. However, no biomechanical severity index exists to e...

The neglected clubfoot deformity is a major disabler of children and adults in developing nations. The bones and joints of the foot deform into fixed equinus, adductus, cavus, and supination as patients walk on the side or dorsum of the foot. There is severe obliquity of the calcaneocuboid joint, which must be corrected in most cases. An algorithmic surgical approach, using peritalar soft tissu...

The main complications of open tibiotalocalcaneal arthrodesis are wound healing disorders and nonunion. Our hypothesis was that arthroscopy and interlocking intramedullary nailing decrease these complications. We retrospectively reviewed six patients (mean age: 58 years; mean preoperative Kitaoka score: 51/100) having undergone arthroscopic tibiotalocalcaneal arthrodesis with retrograde intrame...