Published: 2021-05-28

Achilles tendon Z-plasty with rollover tensor fascia lata graft for correction of equinus foot deformity

Madhusoodan Gupta, Ankur Goel, Deepti Varshney, Vishal K. Biswkarma


Equinus deformity is a condition in which dorsiflexion movement of the ankle joint is limited or decreased. Equinus deformity arises due to contracture/shortening/tightening in achilles tendon or soleus muscles or gastrocnemius muscle. The lengthening procedure of the achilles tendon can be done by various techniques such as the open or percutaneous method and Z-plasty versus sliding technique. Here we reported a case of post-traumatic equinus deformity of the right foot. The patient’s dorsiflexion movement was restricted. In this case, the patient was operated for open Z-plasty of the achilles tendon with rollover tensor fascia lata graft for lengthening of the contracted achilles tendon. The patient was discharged on the third postoperative day uneventfully. After 7 months of follow-up, the patient was walking normally without limping with the full range of motion at the right ankle joint as similar to his left ankle joint.




Equinus foot, Z plasty, Tensor fascia lata

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Shore BJ, White N, Kerr GH. Surgical correction of equinus deformity in children with cerebral palsy: a systematic review. J Child Orthop. 2010;4(4):277-90.

Cheng JC, So WS. Percutaneous elongation of the Achilles tendon in children with cerebral palsy. Int Orthop. 1993;17(3):162-5.

Graham HK, Fixsen JA. Lengthening of the calcaneal tendon in spastic hemiplegia by the White slide technique. A long-term review. J Bone Joint Surg Br. 1988;70(3):472-5.

Rattey TE, Leahey L, Hyndman J, Brown DC, Gross M. Recurrence after Achilles tendon lengthening in cerebral palsy. J Pediatr Orthop. 1993;13(2):184-7.

Stauff MP, Kilgore WB, Joyner PW, Juliano PJ. Functional outcome after percutaneous tendo-Achilles lengthening. Foot Ankle Surg. 2011;17(1):29-32.

Coster MC, Rosengren BE, Bremander A, Brudin L, Karlsson MK. Comparison of the Self-reported Foot and Ankle Score (SEFAS) and the American Orthopedic Foot and Ankle Society Score (AOFAS). Foot Ankle Int. 2014;35(10):1031-6.

Berg EE. Percutaneous Achilles tendon lengthening complicated by inadvertent tenotomy. J Pediatr Orthop. 1992;12(3):341-3.