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Gastrocnemius-Muscle Recession (Silfverskiold Operation) for Spastic Equinus Deformity in Cerebral Palsy
Caroll M. Silver; Stanley D. Simon
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PROVIDENCE, RHODE ISLAND
1959 by The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 1959 Sep 01;41(6):1021-1028
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Abstract

Spastic equinus contracture is the most common deformity of the lower extremity in cerebral palsied children. In 1924, Silfverskiold divided spastic equinus contracture into two groups, one of which is passively correctable by flexion of the knee to a right angle. The gastrocnemius function is the primary deforming factor in this group and is the most frequently encountered in children.

The Silfverskiold operation, consisting in gastrocnemius-muscle recession with partial neurectomy, is an effective and reliable procedure for spastic equinus deformity when the proper indications are present.

One hundred and ten gastrocnenmius-recession operations were performed by the authors between 1947 and 1958 with five failures (recurrence of equinus deformity).

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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