Many procedures have been used in the treatment of equine contracture with varying success rates. Surgical management of the ankle equinus is a widely debated topic and the choice of procedure is often based on surgeon preference as there is no consensus on the superiority of any single procedure. Say no to plagiarism. Get a tailor-made essay on “Why Violent Video Games Should Not Be Banned”? Get an original essayRecurrence rates in the literature vary from 0% to 50%, depending on the type of patient and length of follow-up. Excessive lengthening of the gastrosoleus should be avoided as it can lead to weakness in the push-off and crouch gait. Because overlengthening is much less common in gastrocnemius recession, surgeons prefer this procedure and reserve TA lengthening for patients with severe equine deformities that cannot be corrected by recession. The present study demonstrates improvements in static and dynamic measures following surgical triceps lengthening. surates in children with spastic equinus deformity. The improvements are significant. The decision between TAL and gastrocnemius recession was usually based on the results of a static examination (including the Silfverskiold test) performed under anesthesia. A positive Silfverskiold test was an indication for gastrocnemius recession procedure and a negative test for TAL. The procedure selected according to these criteria produced good results overall. In our study, it was found that the average age of TAL patients was 8.87 years. This may be because the period required for contracture to develop in the triceps surae is longer than in the gastrocnemius. It seems that the gastrocnemius is involved earlier than the soleus in the pathological process of formation of contractures due to spasticity. This difference may be due to the length of the musculotendinous unit, the activity level of the muscle and its role in gait and balance. It was found that the M:F ratio was almost 1:2. This led to the inference that women with this malformation were required to be treated later than boys. This may be due to less concern for health care for girls in a male-dominated society, as seen in this part of the country. Illiteracy was found to be profound in the population studied. Other important reasons for delaying seeking medical advice are financial constraints and lack of awareness. Although financial constraints cannot be resolved to a large extent in a short time, the negative impacts of financial constraints and lack of awareness can be overcome by establishing specialized cerebral palsy clinics at district and tehsil levels and by launching awareness programs to be carried out in these remote rural areas. as well as improved maternal and child care services to reduce etiological factors. There is a need to create awareness not only about the aspects of the disease but also about the facilities provided by the government and help them take full advantage of them. In this study, the etiological basis of the majority of subjects was found to be delayed crying or hypoxic ischemic encephalopathy followed by preterm birth. We found that the most common type of CP was diplegic (54%), quadriplegic (30%), followed by hemiplegic (16%). No patient was found to be monoplegic. Vlachou et al (2009) reporteda distribution in 135 consecutive patients as spastic diplegia 66.66%, hemiplegia 20%, quadriplegia 10.37% and monoplegia 0.74%. The study showed that the average popliteal angle increased significantly after treatment and at the final evaluation was 1.7%. . The study showed that the average passive DF of the ankle in the knee extension angle increased significantly after treatment and at the final evaluation was 22.25° (20.9%). Comparison of mean active ankle DF in knee extension angle was found to be insignificant (F = 2.67, p = 0.08) treatment effect, i.e. does not change significantly. This indicates minimal effect of surgical intervention on muscle power.Spasticity is difficult to define clinically, attempts have been made to define it, as the difference between initial grip with rapid stretch and end of range (EOR) with slow stretching (Tardieu G et al 1987)12. According to this, the reduction in the rapid stretch value seems to be a better indicator of functional improvement than the end of the range, because spasticity is velocity dependent. We observed an insignificant decrease in spasticity in terms of change in ankle grip angle as a measure of rapid stretch, change in ankle DF angle (EOR), and difference ( ∆ml). The difference between initial and end reach (∆ml) was found to be insignificant at 8.07° in our study. Vlachou et al (2009)9 reported a 14° improvement in ankle DF angle (EOR) and an 18° improvement in ankle grip angle and a significant difference in ∆ml. The difference between the results of our study and those mentioned above may be due to the difference in sample size, low inter- and intra-rater reliability of the modified Ashworth score and the clinical grade at the start of treatment. . Assessment of spasticity using the modified Ashworth score was found to be insignificant. effect on ranking. A reduction of at least one grade was observed in 12.5% ​​of the study group. Spasticity did not change significantly with surgical interventions. Similar results were reported by Kay et al (2004). Vlachou et al (2009) reported that the Ashworth scale was reduced by at least one grade in 78% of subjects in the triceps surae group of children with preoperative Ashworth 3 and above. Such a difference in results may be due to differences in the initial condition of the patient, the age at which the surgical procedure was performed, the magnitude of contractures present in the treated muscle groups, the stretching capacity of the muscles/soft tissues in this area. Furthermore, Kay et al (2004)11, (n = 55) found that the average change in postoperative spasticity was similar to the result of our study (Kay - 0.1, ours - 0.13). Thus, it can be concluded that although surgical procedure has a decrementing effect on spasticity, further evidence is needed with increased sample size and longer follow-up. When comparing the mean GMFCS rating of subjects in our study, we found an insignificant change (p > 0.05). ). It is clear that the reduction of spasticity, as well as the responsiveness of patients to surgical intervention, is strongly related to the preoperative passive and active range of motion of the joints, the structure of the muscle (muscle fiber length, tendon length, pennation angle), preoperative spasticity level, baseline GMFCS (Gross Motor Function Classification System) level, and patient age. Abel et al13 (1999) reported improvements in walking ability and stride length 6 months after surgery and..