title: The surgical management of equinus in the adult acquired flatfoot.
abstract: Ankle joint equinus plays a significant role in the pathogenesis of adult and pediatric flatfoot. The surgical management of ankle equinus is a widely debated topic, and procedure selection is often based on surgeon preference because there is no consensus regarding the superiority of a single procedure. Gastrocnemius recession offers acceptable cosmesis and minimizes perceived weakness, yet requires increased operating time and is indicated only in mild to moderate contractures. Whereas tendo-achilles lengthening is efficient and technically undemanding, and one may achieve large amounts of required length, final length is sometimes unpredictable and may markedly decrease posterior muscle group strength.
authors.affiliation: Private Practice Ashland/Mansfield Foot and Ankle Specialists, 550 South Trimble Road, Mansfield, OH 44906, USA. ameszaros1@gmail.com
authors.forename: Amanda
authors.initials: A
authors.lastname: Meszaros
authors.forename: Gage
authors.initials: G
authors.lastname: Caudell
mesh_terms: D000125:Achilles Tendon / Q000601:surgery; D000328:Adult; D000843:Ankle Joint / Q000601:surgery; D004724:Endoscopy / Q000379:methods; D004863:Equinus Deformity / Q000150:complications / Q000601:surgery*; D005413:Flatfoot / Q000209:etiology / Q000601:surgery*; D005531:Foot Deformities, Acquired / Q000601:surgery; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery*