Bilateral Equinovarus Contractures

Bilateral free-ankle AFOs with inhibitive footplates. Bilateral equinovarus contractures.

This 5-year-old male has no know allergies. He is not taking any medication and is an active community ambulator. He receives physical and occupational therapy. He receives speech therapy at home. He previously had bilateral free-ankle AFOs and did well in them, but has outgrown them.

The patient is a toe walker; however, he is able to come down on his heels when asked to. He slightly pronates bilaterally. Range of motion at the ankles with the knees flexed is +15 degrees, and with the knees straight it is +10 degrees bilaterally. His heels were in a slight amount of valgus but correctable, and his forefeet are slightly abducted but correctable. The casting procedure went well. Mom knows what to expect as far as overall design. NOT footplates will be added. He has mild tone when relaxing or sitting. His tone is more dynamic in nature. When he walks he gets up on his toes.

Bilateral free-ankle AFOs with inhibitive footplates.