In Toeing

 In Case Study

Problem:cerebral palsy Jump knee gait Toe walkingmost of the time this intoeing occur because of increased femoral anteversion but some time they can occur because of spastic tibialis posterior muscle/ internal tibial torsion

Management Protocol: Most of time intoeing occur because of bony torsion and need surgical correction. This problem can not be managed conservatively. Increase femoral anteversion / internal tibial torsion can be managed by derotational osteotomy of respective bone and tibial posterior contracture will be managed by lengthening or partial transfer.

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