1998 年 47 巻 1 号 p. 199-203
We report the surgical treatment of post-traumatic talipes equinus deformity. 17 feet out of 17 cases with post-traumatic equinus deformity, 12 males and 5 females ranging in age from 7 to 62 years (mean age: 32 years), were operated from 1978 to 1997 in our hospital. Soft part release operation was done in 10 feet, and bony operation in 7 feet. All cases were plant igrad after operation. However, arch supports were needed for treatment of residual equinus deformity in five patients. One patient with severe open fracture of the femur complained of shortening of the lower limb. Equinus deformity can be a cause of metatarsalgia and loss of stability on standing. We recommend the relese operation in combination with rotation flap for treatment of the deformity. However, osteotomy of the tarsal bone and fusion of the ankle were necesary in some cases. Evalution of the foot, such as the condition of the skin, muscle, bone and nerve, was vey important for deciding whether to use surgical treatment.