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Tibial syndrome in patients with infantile cerebral paralysis. Surgical treatment

The authors suggest the original conception of the development of so-called tibial syndrome that is the typical one for patients with infantile cerebral paralysis. The significance of tibial synkinesis being pathognomonic for pyramidal lesions in the formation of a peculiar severe locomotor pathology is detected. This severe locomotor pathology is a tibial syndrome. The authors emphasize that tibial syndrome is often a failured outcome of surgical intervention for foot equinus in young children. New surgical technique that eliminates the main pathologic components of tibial syndrome: flexion contracture of the knee joint, crus anterversion, redundant dorsal foot flexion, and improves the posture and gait is suggested.