Operative Treatment of Ankle Equinus Deformity in Hemophiliacs

The majority of patients treated for hemophilic pes equinus by Achilles tendon lengthening showed a temporary or permanent functional improvement. Long term improvement of the equinus deformity is achieved by the procedure, yet this is frequently associated with loss of plantar flexion. Achilles tendon lengthening does not prevent progression of hemophilic ankle arthropathy. In view of the fact that in a significant number of our patients the clinical status was improved, the procedure seems a feasible management option for equinus deformity of the ankle, with acceptable long-term results.