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ORIGINAL ARTICLE
Year : 2022  |  Volume : 5  |  Issue : 4  |  Page : 156-160

Medico-surgical management of the spastic equinovarus foot deformity in adults: A retrospective series of 622 patients


1 Department of Physical Medicine and Rehabilitation, CHU UCL Namur Site Godinne, Yvoir, Belgium
2 Department of Orthopaedic Surgery, CHU UCL Namur Site Godinne, Yvoir, Belgium
3 Department of Neurosurgery, CHU UCL Namur Site Godinne, Yvoir, Belgium

Correspondence Address:
Prof. Thierry Deltombe
Department of Physical Medicine and Rehabilitation, CHU UCL Namur Site Godinne, B-5530 Yvoir
Belgium
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijprm.JISPRM-000182

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Objective: This study aimed to determine the frequency of spastic equinovarus foot (SEF) treatments. Materials and Methods: the medical files of 622 patients treated for SEF were reviewed. Results: SEF resulted from stroke in 66%. The most frequent pattern was equinovarus in 56%, knee recurvatum in 55%, and claw toes in 41%. Patients benefited from surgical treatment in 59%, including neurotomy in 22%, tendon surgery in 12%, and a combined surgery in 25%. Conclusion: Surgery was performed in 59% of the cases. The type of treatment was influenced by the preoperative diagnostic nerve block assessment.


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