Results of Ilizarov External Fixation in Rigid Equinus Deformity: An Experience of 30 Patients

Ortopedia, traumatologia, rehabilitacja
Khurshid AhmadRajat Agrawal

Abstract

Equinus deformity is associated with congenital disorders, trauma, infections, burns and neuromuscular diseases. Tip-toe gait resulting from equinus deformity often makes ambulation difficult. Many modalities of treatment are available but most of them are challenging due to high risk of skin and soft tissue complications. The purpose of this study was to evaluate the results of Ilizarov external fixator with or without minimal soft tissue release in patients with rigid equinus deformity. 30 patients, with 21 (70%) males and 9 (30%) females, were included in this study. 17 (56.66%) patients had right foot, 10 (33.33%) had left foot and 3 (10%) had bilateral feet involvement. 17 (56.66%) had polio, 8 (26.66%) had cerebral palsy, 3 (10%) had posttraumatic and 2 (6.66%) had post-burn equinus deformities. Mean duration of equinus deformity was 5.1 years (range 1 to 11). The ankle range of mo-tion and radiographic lateral tibiotalar angle were assessed preoperatively and at last final follow-up. Kling et al. criteria were used to assess the morphological and functional outcome. The mean preoperative rigid equinus deformity was -32° (range -40 to -20). The mean duration of Ilizarov external fixation required to correct the equinus de...Continue Reading

Citations

Aug 23, 2019·The Journal of Bone and Joint Surgery. American Volume·Mark T DahlAaron J Huser

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