Open Access

Table 1

Questionnaire items and descriptive analysis of all participants: general and pediatric orthopedic surgeons*.

Questionnaire item Responses N %
Q1: How often do you take a comprehensive “birth” history from a child with CP? Regularly/Frequently 177 79
  Occasionally/Never 46 21
Q2: How often do you perform clinical gait assessment for CP children? Regularly/Frequently 165 74
Occasionally 47 21
  I am satisfied with a comprehensive couch examination 11 5
Q3: How do you routinely assess your CP child for the presence of equinus contracture? I dorsiflex the foot above plantigrade, with the hindfoot in neutral and the knee extended. 31 14
  In addition I repeat the above-mentioned maneuver but with a flexed knee “Silverskiold test”. 192 86
Q4: How often do you consult a pediatric neurologist/neurologist when managing CP children? Regularly/Frequently 142 64
  Occasionally/Never 80 36
Q5: How often do you consult a pediatrician when managing CP children? Regularly/Frequently 104 47
  Occasionally/Never 119 53
Q6: What is the most common lengthening procedure you use to treat equinus contracture in diplegic CP children? A percutaneous Achilles tendon lengthening 81 36
An open Achilles tendon lengthening 78 35
  A more proximal gastrocsoleus aponeurotic lengthening 64 29
Q7: How do you plan for postoperative bracing? I usually refer patients to rehabilitation specialist to decide on bracing/orthosis 63 28
  I usually instruct my patients to use a specific bracing/orthosis 158 71
Q8: The CP subtype (hemiplegic/diplegic) is an important guide to the selection of the type of lengthening procedure Totally agree/agree 139 62
Not sure 62 28
  Totally disagree/disagree 22 10
Q9: The surgeon’s surgical skills is the most important determinant of complication rates (recurrence/overcorrection) Totally agree/agree 116 52
Not sure 41 18
Totally disagree/disagree 66 30
Q10: The choice of the type of lengthening procedure is one of the most important determinants of complication rates (recurrence/overcorrection) Totally agree/agree 163 73
Not sure 34 15
Totally disagree/disagree 26 12
Q11: I do not consider the patient’s age to have a significant influence on complication rates (recurrence/overcorrection) Totally agree/agree 40 18
Not sure 31 14
Totally disagree/disagree 152 68
Q12: The severity of equinus deformity is one of the most important factors that determines the choice of the lengthening procedure Totally agree/agree 165 75
Not sure 32 14
Totally disagree/disagree 24 11
Q13: In case of association of equinus with multiple deformities, it’s important to address all indicated deformities in one anesthetic sitting, “single-stage surgery” Totally agree/agree 153 69
Not sure 27 12
Totally disagree/disagree 43 19

Participants were asked to check one choice that best corresponds to their answer for each of the 13 questions above. For questions 8–13 participants were asked to indicate their level of agreement or disagreement with these questions/statements: (5) Totally agree (4) Agree (3) Not sure (2) Disagree (1) Totally disagree.

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