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Guo J.-Q.,The No 1 Hospital Of Zhangjiakou | Luo Y.,The No 1 Hospital Of Zhangjiakou | Gao Y.,The No 1 Hospital Of Zhangjiakou | Ren S.-L.,The No 1 Hospital Of Zhangjiakou | Zheng Z.-L.,The No 1 Hospital Of Zhangjiakou
Chinese Journal of Tissue Engineering Research | Year: 2015

Background: It has a variety of treatments for equinovarus in spastic cerebral palsy, including physical therapy, orthotic therapy, systemic anti-spasticity drug therapy, local intramuscular injection of botulinum toxin type A and a variety of surgical operations. These treatments aim at different severity of deformities and different age in children patients, and each has its own merits. Objective: To investigate the therapeutic effect of Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat equinovarus in spastic cerebral palsy. Methods: Twenty-two children with spastic cerebral palsy combined with equinovarus were collected from 2012 to 2014, and then these children were subject to Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition. Postoperative plaster external fixation was done for 6 weeks, and then rehabilitation training was given. Results and Conclusion: All the 22 patients were followed for an average of 1-2 years, and then were evaluated according to the degree of patient’s satisfaction and the degree of foot deformity. Satisfactory results were obtained from all the patients. Achilles tendon “Z”-type extension, tibialis anterior and posterior transfer combined with tendon transposition to treat spastic cerebral palsy combined with equinovarus is a good method, and it is characterized as good appearance of the ankle and favorable foot function. © 2015, Journal of Clinical Rehabilitative Tissue Engineering Research. All rights reserved.

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