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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