A Survey of Prognosis for Equinus Deformity due to Cerebral Palsy

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Purpose: The change of operative and therapeutic procedures as well as the long-term prognosis for equinus deformity due to cerebral palsy were investigated by means of questionnaire and medical examination so as to help future treatment.Method: A total of 103 patients or 175 cases have undergone operation for equinus deformity due to cerebral palsy from 1954 when this clinic was established through 1976. The methods employed included Stoffel operation, classical Z procedure, Baker technique, Vulpius technique, and White technique.Study was made mostly on long-term prognosis for the cases with the lapse of half a year to the maximum of 21 years after operation. In the questionnaire, gait ability was classified into seven degrees of (a) no limit, (b) 2km, (c) 1km, (d) 500m, (e) 50m, (f) a little and (g) unable. Inquiry was also made for the bending posture at walking down hill and the after operation and at present. Those who had not received medical examination for the past several years were examined to confirm the present status.Result: Among those with long postoperative lapse, heel-toe gait was hardly observed and toe-heel gait or stamp gait was common. A durative follow up was deemed advisable.