Vol. 6, Issue 1, Part A (2024)

Calcaneal foot deformity can be related to neuromuscular disorders or due to over lengthening of the Tendo-Achilles (TA) tendon. A careful neurological examination should be done including the lower back examination especially in patients with progressive deformity. Soft tissue procedures including plantar release and tendon transfers are done in younger patients to correct calcaneal deformity associated with cavus. We present a case series of 5 cases that had calcaneal deformity due to various reasons. The first case is a 9 year old male child with calcaneocavus deformity with a slowly progressive neurological disorder who was treated with plantar fasciotomy and peroneus longus transfer to the tendo-achilles. The second case is a calcaneal deformity in a case of myelomeningocele in the left foot that was treated with Plantar fascia tenotomy, lengthening of Tibialis anterior, EDL and EHL with the transfer of peroneus longus to tendo-achilles. The other three cases were of cerebral palsy the first being quadriplegic and the other two developed calcaneal deformity due to overlengthening of the tendo-achilles. Transfer of peroneus longus to the tendo-achilles was done in all the cases along with other procedures. The main focus of this paper is to determine the impact of peroneus longus transfer into tendo-achilles in the improvement of the calcaneal deformity.