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All children had an equinus deformity on physical examination and equinus gait on three-dimensional gait analysis prior to surgery. The pre-operative and post-operative GPS and GVS were statistically analysed. There were 20 boys and 6 girls in the study cohort with a mean age at surgery of 9.2 years (5.1 to 17.7) and 11.5 years (7.3 to 20.8) at follow-up. Of the 26 children, 14 had spastic diplegia and 12 spastic hemiplegia. Gait function improved for the cohort, confirmed by a decrease in mean GPS from 13.4\u00b0 pre-operatively to 9.0\u00b0 final review (p &lt; 0.001). The change was 2.8 times the minimal clinically important difference (MCID). Thus the improvements in gait were both clinically and statistically significant. The transverse gastrocsoleus recession described by Vulpius is an effective procedure for equinus gait in selected children with CP, when there is a fixed contracture of the gastrocnemius and soleus muscles. <\/jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:564\u201371. <\/jats:p>","DOI":"10.1302\/0301-620x.97b4.34887","type":"journal-article","created":{"date-parts":[[2015,3,27]],"date-time":"2015-03-27T22:05:23Z","timestamp":1427493923000},"page":"564-571","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":27,"title":["The transverse Vulpius gastrocsoleus recession for equinus gait in children with cerebral palsy"],"prefix":"10.1302","volume":"97-B","author":[{"given":"A.","family":"Tinney","sequence":"first","affiliation":[{"name":"The University of Melbourne, Flemington\rRoad, Parkville, Victoria\r3052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Thomason","sequence":"additional","affiliation":[{"name":"The Royal Children's Hospital, Flemington\rRoad, Parkville, Victoria\r3052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sangeux","sequence":"additional","affiliation":[{"name":"The Royal Children's Hospital, Flemington\rRoad, Parkville, Victoria\r3052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Khot","sequence":"additional","affiliation":[{"name":"Royal Children\u2019s Hospital, Flemington\rRoad, Parkville, Victoria\r3052, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. 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