title: Calcaneus deformity in the ambulant patient with myelomeningocele.
abstract: We reviewed our experience of tibialis anterior transfer and anterior release for calcaneus deformity in 46 feet of 26 ambulant patients with myelomeningocele. At an average follow-up of 8.4 years (2 to 17.6) there were 89% who had satisfactory results; 64% of the patients having tibialis anterior transfers were able to stand on their toes. Hip abductor power was a good predictor of a functional transfer. Pre-operative trophic ulceration of the heel increased from 3.2% to 33% if surgery was delayed. Secondary deformities, two-thirds of them into valgus, developed in 76% of feet.
authors.affiliation: Red Cross Children's Hospital, Cape Town, Republic of South Africa.
authors.forename: R K
authors.initials: RK
authors.lastname: Fraser
authors.forename: E B
authors.initials: EB
authors.lastname: Hoffman
mesh_terms: D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D002675:Child, Preschool; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008591:Meningomyelocele / Q000150:complications*; D011859:Radiography; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome; D016138:Walking