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  • Title: The surgical management of equinus in the adult acquired flatfoot.
    Author: Meszaros A, Caudell G.
    Journal: Clin Podiatr Med Surg; 2007 Oct; 24(4):667-85, viii. PubMed ID: 17908636.
    Abstract:
    Ankle joint equinus plays a significant role in the pathogenesis of adult and pediatric flatfoot. The surgical management of ankle equinus is a widely debated topic, and procedure selection is often based on surgeon preference because there is no consensus regarding the superiority of a single procedure. Gastrocnemius recession offers acceptable cosmesis and minimizes perceived weakness, yet requires increased operating time and is indicated only in mild to moderate contractures. Whereas tendo-achilles lengthening is efficient and technically undemanding, and one may achieve large amounts of required length, final length is sometimes unpredictable and may markedly decrease posterior muscle group strength.
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