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Introduction. Pes calcaneus deformity is a rare pathology in children, which is due to the defect of long flexors of the foot caused by various neurological diseases. The treatment choice is based on the patient’s age, parameters of neuromuscular disorders, and degree of foot deformation. Aim. This study aimed to analyze the results of operative correction of рes calcaneus deformities in children. Material and methods. This analysis of surgical treatment involved 13 patients (21 feet) aged 1.5 to 15 years with рes calcaneus deformities. The different approaches and methods of surgical treatment were described. Children up to 12 years old were released joints of the foot with the elimination of deformation and tendon-muscle transposition with the transfer of functionally preserved muscles in the position of fallen muscle antagonists. Children over 12 years old underwent surgery on the bone apparatus of foot: three-articular arthrodesis or corrective osteotomy of the calcaneus, some cases were supplemented with tendon-muscle transpositions. Results. Treatment results were evaluated based on the radiometric parameters on the system of AOFAS. All treated patients showed improvement in foot stability with reduced deformation; AОFAS at an average of 91.14 points was observed. Conclusion. A record of all causes and strain components with a graded approach eliminates the pes calcaneus deformity in the long-term, despite persistent violation of neuromuscular conduction.

[1]  Корячкин Виктор Анатольевич,et al.  Системная токсичность местных анестетиков при регионарной анестезии в ортопедии и травматологии , 2015 .

[2]  M. Huber What is the role of tendon transfer in the cavus foot? , 2013, Foot and ankle clinics.

[3]  S. Ellis,et al.  Reconstruction of Achilles Rerupture With Peroneus Longus Tendon Transfer , 2013, Foot & ankle international.

[4]  C. Heitmann,et al.  [Tendon transfers for peroneal palsy - functional outcome]. , 2011, Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V....

[5]  B. Hintermann,et al.  Lambrinudi Arthrodesis with Posterior Tibialis Transfer in Adult Drop-Foot , 2010, Foot & ankle international.

[6]  Stuart L. Weinstein,et al.  Lovell and Winter's Pediatric Orthopedics , 1996 .

[7]  Kenneth A Johnson,et al.  Surgery of the Foot and Ankle , 1989 .