Abstract
This study was conducted to evaluate the corrective capability of the Ilizarov external fixator in the treatment of neglected clubfoot. Thirty patients (38 feet) with a mean age of 19 (5 to 39) years with severe deformities and stiff feet associated with neglected clubfoot were studied. A limited soft-tissue dissection, Achilles tenotomy, and plantar fasciotomy were done. Progressive correction of the deformities was achieved through a standard setting of the Ilizarov external fixator. The device was used for 16 weeks, on average, and after removal a short-leg walking cast was used for an additional 6 weeks, followed by an ankle-foot orthosis (AFO) for 6 months. The final outcome was scored as good (complete correction and no pain); fair (partial correction with plantigrade foot and occasional pain); or poor (nonplantigrade foot and continuous pain during walking). After a mean followup of 58 (range 12 to 107) months, the results were good in 30 feet (78.9%); fair in three feet (7.9%); and poor in five feet (13.2%). Early complications were a distal tibial fracture in one foot, dislocation of the first metatarsophalangeal joint in one foot, and arterial damage that resulted in amputation of the toes in one foot. Recurrence of t...Continue Reading
References
Aug 1, 1990·Foot & Ankle·A D GrantW B Lehman
Aug 1, 1987·The Journal of Bone and Joint Surgery. British Volume·F Grill, J Franke
May 1, 1983·Journal of Pediatric Orthopedics·D W McKay
Mar 1, 1993·Foot & Ankle·L SilverW B Lehman
Apr 1, 1996·The Journal of Bone and Joint Surgery. American Volume·O V OganesyanV I Kuzmin
Jun 1, 1996·Acta Orthopaedica Scandinavica·H WallanderB Tjernström
May 17, 2000·The Journal of Bone and Joint Surgery. British Volume·C F Bradish, S Noor
Jul 31, 2001·The Journal of Bone and Joint Surgery. British Volume·I H ChoiY J Sohn
Citations
Mar 10, 2010·Archives of Orthopaedic and Trauma Surgery·Tun Hing Lui
Dec 17, 2011·Journal of Pediatric Orthopedics·Atef Hassan, Merv Letts
May 25, 2011·International Orthopaedics·Hazibullah WaizyThilo Floerkemeier
Feb 4, 2011·Foot & Ankle International·Thilo FloerkemeierHazibullah Waizy
Dec 20, 2015·Journal of Pediatric Orthopedics. Part B·Ramin Haj Zargar BashiHossein Aslani
Jul 2, 2015·Foot & Ankle International·L Daniel LattMark E Easley
Feb 1, 2019·Journal of Pediatric Orthopedics. Part B·Anand AjmeraAlok Verma
Aug 10, 2010·Clinical Orthopaedics and Related Research·Dong Yeon LeeTae-Joon Cho
Jun 15, 2007·Foot & Ankle International·Ricardo Cardenuto FerreiraRoberto Attilio Lima Santin
Dec 8, 2007·Journal of Cellular Physiology·G SheferD Benayahu
Nov 8, 2016·Revista Brasileira De Ortopedia·Rodrigo Mota Pacheco FernandesGuilherme Pelosini Gaiarsa
Jan 1, 2013·JBJS Case Connector·Davi de Podestá Haje
Nov 21, 2018·PloS One·Gabriel Ferraz FerreiraMonica Paschoal Nogueira
Mar 16, 2007·The Journal of Bone and Joint Surgery. British Volume·Y InY-J Kwon
Dec 6, 2008·Strategies in Trauma and Limb Reconstruction·Konstantinos N MalizosTheofanis Moraitis
Apr 13, 2013·Clinical Orthopaedics and Related Research·Cesare FaldiniFrancesco Acri
Dec 3, 2011·Journal of Pediatric Orthopedics. Part B·Rudolf GangerFranz Grill
Apr 21, 2018·Scientific Reports·Chao XuWei Lei
Jul 3, 2010·The Journal of Bone and Joint Surgery. British Volume·S P KelleyL T Donnan
Mar 16, 2007·The Journal of Bone and Joint Surgery. British Volume·A F Lourenço, J A Morcuende
Jun 27, 2021·International Orthopaedics·Mohamed Fadel, Mohamed Fawzy Kandil
Jun 18, 2021·International Journal of Surgery Case Reports·Ihsan Oesman, Chintya Mutiara Sari
Aug 30, 2008·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Robert W MendicinoAlan R Catanzariti