Dear Friends
Kindly give your suggestion
10 yr old girl spastic CP- active child GMFCS I
Has severe intoeing due L femoral anteversion- Internal rotation L hip 80 deg
Also has bilateral gastrocnemius tightness
In 2019 she had undergone gastro soleus aponeurotic release and femoral de rotation osteotomy but all the problems have recurred.
My plan is to repeat the de rotational osteotomy and should I also repeat the aponeurotic release
Attaching x-rays and CT scan and clinical pics
Gait pics at https://youtu.be/71_H1s9j2V0
With regards
DR CHERIYAN KOVOOR
KOCHI