SPLIT TIBIALIS POSTERIOR TRANSFER FOR EQUINOVARUS DEFORMITY IN CEREBRAL-PALSY - LONG-TERM RESULTS OF A NEW SURGICAL-PROCEDURE

We report the results of a new surgical procedure for spastic equinova rus deformity due to cerebral palsy. This is the transfer of the anter ior half of the split tibialis posterior to the dorsum of the foot thr ough the interosseous membrane. We performed the operation on 23 feet in 18 children. All patients were assessed before operation and at fol low-up at a mean of 8.4 years postoperatively. Using the criteria of K ling et al (1985), excellent results were obtained in 14 feet, good re sults in eight, and a poor result in only one.