The Journal of the International Society of Physical and Rehabilitation Medicine

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


Thierry Deltombe1, Thomas Gavray1, Olivier Van Roy1, Delphine Wautier2, Thierry Gustin3 
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

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.


How to cite this article:
Deltombe T, Gavray T, Van Roy O, Wautier D, Gustin T. Medico-surgical management of the spastic equinovarus foot deformity in adults: A retrospective series of 622 patients.J Int Soc Phys Rehabil Med 2022;5:156-160


How to cite this URL:
Deltombe T, Gavray T, Van Roy O, Wautier D, Gustin T. Medico-surgical management of the spastic equinovarus foot deformity in adults: A retrospective series of 622 patients. J Int Soc Phys Rehabil Med [serial online] 2022 [cited 2023 Feb 4 ];5:156-160
Available from: https://www.jisprm.org/article.asp?issn=2349-7904;year=2022;volume=5;issue=4;spage=156;epage=160;aulast=Deltombe;type=0