PMID: 16624216Apr 21, 2006Paper

Correction of neglected clubfoot using the Ilizarov external fixator

Foot & Ankle International
Ricardo Cardenuto FerreiraFernando Ferreira da Fonseca Filho

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

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Citations

Mar 10, 2010·Archives of Orthopaedic and Trauma Surgery·Tun Hing Lui
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