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Orthopedic surgical interventions can be used to correct abnormalities of the foot in patients with cerebral palsy.
Potential problems include:

  • Equinus
  • Calcaneous
  • Varus
  • Valgus
  • Bunion 

The patient shown in the panel on the right has a varus foot. It is usually seen in patients with hemiplegia.
Surgical options include:

  • Frost lengthening of the posterior tibialis muscle
  • Split posterior tibialis tendon transfer (SPOTT)
  • Split anterior tibialis tendon transfer (SPLATT) 

DeLuca PA. Common orthopedic problems II: the musculoskeletal management of children with cerebral palsy. Pediatr Clin N Am 1996;43:1135-50.