In cerebral palsy patients with calcaneus gait, what surgical intervention addresses the equinus deformity?

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Multiple Choice

In cerebral palsy patients with calcaneus gait, what surgical intervention addresses the equinus deformity?

Explanation:
Equinus gait in cerebral palsy comes from a tight plantarflexor complex, mainly the gastrocnemius–soleus (the triceps surae), which keeps the ankle in plantarflexion and limits dorsiflexion during stance. Surgically lengthening the triceps surae reduces this contracture, allowing the ankle to dorsiflex more freely and improving gait. Worsening the contracture by tightening the same muscles, fusing the subtalar joint, or using nonoperative dorsiflexion bracing do not specifically correct the plantarflexion deformity. So the procedure that best addresses the equinus is lengthening of the triceps surae.

Equinus gait in cerebral palsy comes from a tight plantarflexor complex, mainly the gastrocnemius–soleus (the triceps surae), which keeps the ankle in plantarflexion and limits dorsiflexion during stance. Surgically lengthening the triceps surae reduces this contracture, allowing the ankle to dorsiflex more freely and improving gait. Worsening the contracture by tightening the same muscles, fusing the subtalar joint, or using nonoperative dorsiflexion bracing do not specifically correct the plantarflexion deformity. So the procedure that best addresses the equinus is lengthening of the triceps surae.

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