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Results Ten out of eleven patients reported good to excellent results. All patients gained independent activity and walked without assistive devices. Six out of eleven patients still required bracing but more minimally than their preoperative condition. The strength of the plantarflexors increased from an average of 1 out of 5 preoperatively to 4 out of 5 postoperatively, according to the Medical Research Council (MRC) scale for grading muscle power. Pain and function utilizing the AOFAS hind foot score improved from an average of 34 to 82. Range of follow-up was an average of 23 months. Conclusion The new developed technique consisting of a complete tendon transfer and an inverse Lambrinudi provides an excellent functional result without the residual complications associated with ankle-arthrodesis. from 51st Annual Meeting of the Society for Research into Hydrocephalus and Spina Bifida Heidelberg, Germany. 27–30 June 2007

Complete tendon transfer and inverse lambrinudi arthrodesis. A new developed operative treatment for paralytic pes calcaneus in spina bifida