The Bridle procedure: a new treatment for equinus and equinovarus

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deformities in children. McCall-R-E. Frederick-H-A. McCluskey-G-M. Riordan-D-C. Shriners Hospitals for Crippled Children, Shreveport Unit, LA 71103. J-Pediatr-Orthop. 1991 Jan-Feb. 11(1). P 83-9. The Bridle procedure is a tritendon anastomosis between the posterior tibialis, anterior tibialis, and peroneus longus, combined with an Achilles tendon lengthening for treating equinus and [1mequinovarus [m deformities. The technique avoids problems of tendon attachment to bone and tendon placement for balance. One hundred seven procedures were performed on patients with cerebral palsy with 74% excellent and good results overall. The average follow-up was 5 years 9 months. The procedure was also performed with mixed results, on smaller groups of patients with other neuromuscular diseases. Author-abstract.