Cerebral Palsy Foot Conditions - DRHC Dubai Pediatric Orthopedic Clinic

Foot deformity is common in cerebral palsy patients and it may take several forms including:

• Equinus: The heel can’t reach the ground due to restricted ankle upward movement.
• Hallux Valgus: The big toe points outward.
• EquinoPlanoValgus: A combination of equinus, flat foot, and the heel deviating outward.
• EquinoCavovarus: Equinus combined with an arcuate foot and the heel deviating inward.

These deformities often lead to complaints about shoe fitting, unstable walking, recurrent falling, toe walking or absent heel strike during gait, forefoot callosities, and compensatory hyperextended knee with heel contact.

Treatment for cerebral palsy foot conditions.

• Serial Manipulation and Casting: This is used in young patients with mild dynamic spasticity, especially those with a flexible equinoplanovalgus foot.
• Orthosis: Articulated or solid orthoses are used for mild and passively correctible deformities with mild spasticity.
• Botulinum Toxin A Injections: Intramuscular injections into the gastrocnemius for mild spasticity may delay the need for surgery.

Surgical Interventions

• Achilles Lengthening: This involves a minimal incision or gastrocnemius muscle recession to treat equinus foot.
• Proximal Phalanx (Akin) Osteotomy: This is used for hallux valgus treatment, and first metatarsophalangeal joint arthrodesis is used for severe recurrent cases.
• Peroneus Brevis Tendon Lengthening and More: A combination of procedures is used for equinoplanovalgus foot treatment, including peroneus brevis tendon lengthening, posterior tibial tendon advancement, calcaneal osteotomy, lateral foot column lengthening (Evans procedure), Grice procedure, and subtalar joint arthroereisis with an updated screw and minimal incision.
• Tendo-Achilles Lengthening and More: A combination of procedures is used for the treatment of equinocavovarus foot, including tendo-Achilles lengthening, posterior tibial tendon muscular lengthening, split posterior tibial tendon transfer (SPOTT), split anterior tibialis tendon transfer (SPLATT), calcaneal osteotomy, and arthrodesis.

If you are in search of the cerebral palsy doctor in Dubai or children's orthopedic specialist in Dubai, then DRHC Orthopedic Clinic in Dubai offers you the doctors who specialize in cerebral palsy and with vast years of experience. To book an appointment call +97142798200.