K. Nakamura et al., PREVENTION OF EQUINUS DEFORMITY DURING TIBIAL LENGTHENING - COMPARISON OF PASSIVE STRETCHING WITH AN ORTHOSIS, International orthopaedics, 20(6), 1996, pp. 359-362
We have reviewed 28 tibial lengthenings in 14 patients with achondropl
asia at an average age of 15 years, and compared the effectiveness of
physiotherapy and an orthosis in preventing an equinus deformity. Phys
iotherapy of 15 min a day was ineffective even when the patients were
able to walk. An orthosis worn for 16 h a day prevented equinus deform
ity up to at least 50% of lengthening, and the difference from physiot
herapy was significant at more than 30% of lengthening.