Baby Wrap Background:.Patients with spastic equinus, equinovarus, and claw toe deformities can experience marked pain and functional limitations in the ability to weight-bear comfortably, ambulate efficiently, or mobilize independently.Seen in 80% of patients with cerebral palsy and 18% of patients with stroke (1, 2), the spastic foot and ankle deformities, and its secondary sequelae of static joint contractures, osseous changes, and chronic pain, are unfortunately common.Methods:.Adult and pediatric patients undergoing combined hyperselective and selective partial motor neurectomies for varus or claw toe deformities were reviewed.
Patient demographics and complications were recorded.Pre- and postoperative Modified Ashworth Scale scores were compared.Results:.Twenty-three patients (16 adults and seven pediatric) met inclusion criteria and were included in analysis.At early 6-month Curling - Clothing - Womens follow-up, the mean preoperative Modified Ashworth Score of 2.
8 in adult patients and 3.0 in pediatric patients decreased to 0.6 postoperatively.Complications in three adult patients included one patient with temporary dysesthesias to the plantar foot, one with a popliteal abscess requiring incision and drainage, and one superficial wound dehiscence that was managed conservatively.Conclusions:.
A combined technique of hyperselective and partial motor neurectomies are effective in decreasing tone in the correction of spastic foot and ankle deformities in both adult and pediatric patients in short-term 6-month follow-up.