The spastic equinus deformity of the foot is frequent in the child with cerebral palsy, and it affects the gait. In our study, we evaluated the experience with the technique describe by Vulpius to correct it. We reviewed 40 patients with 66 feet operated in the Hospital San Juan de Dios of Caracas, from 1974 to 1992, with more than 1 year of follow up. The results were grouped and analyzed taking in consideration the surgical age, the type of the neurologic affection, the time of postoperatory follow up, and graded according a scale that takes into count the gait with or without orthesis and the recurrence of the deformity. Of the whole series, 32 patients (76%) didn''t need a new surgical intervention. We make emphasis in the Silverskióld test as surgical indication.

The spastic equinus deformity of the foot is frequent in the child with cerebral palsy, and it affects the gait. In our study, we evaluated the experience with the technique describe by Vulpius to correct it. We reviewed 40 patients with 66 feet operated in the Hospital San Juan de Dios of Caracas, from 1974 to 1992, with more than 1 year of follow up. The results were grouped and analyzed taking in consideration the surgical age, the type of the neurologic affection, the time of postoperatory follow up, and graded according a scale that takes into count the gait with or without orthesis and the recurrence of the deformity. Of the whole series, 32 patients (76%) didn''t need a new surgical intervention. We make emphasis in the Silverskióld test as surgical indication.