Yonsei Medical Journal

The purpose of this study was to evaluate how soft tissue surgery for correcting equinus deformity affects the kinematic and kinetic parameters of the ankle and proximal joints. Sixteen children with spastic hemiplegic cerebral palsy and equinus deformities (age range 3-16 years) were included. Soft tissue surgeries were performed exclusively on the ankle joint area in all subjects. Using computerized gait analysis (Vicon 370 Motion Analysis System), the kinematic and kinetic parameters during barefoot ambulation were collected preo-peratively and postoperatively. In all 16 children, the abnor-mally increased ankle plantar flexion and pelvis anterior tilting on the sagittal plane were significantly improved without a weakening of push-off (p < 0.05). In a group of 8 subjects with a recurvatum knee gait pattern before operation, the post-operative kinematic and kinetic parameters of the knee joint were significantly improved (p < 0.05). In a group of 8 sub-jects with ipsilateral pelvic external rotation before operation, the postoperative pelvic deviations on the transverse plane were significantly decreased (p < 0.05). These findings sug-gest that the soft tissue surgery for correcting equinus defor-mity improves not only the abnormal gait pattern of the ankle, but also that of the knee and pelvis