V osteotomy and Ilizarov technique for residual idiopathic or neurogenic clubfeet

Journal of Orthopaedic Surgery
E SegevY Hemo

Abstract

To report the treatment outcomes of V osteotomy and Ilizarov technique for residual idiopathic or neurogenic clubfeet. 13 patients (14 feet) aged 8 to 18 years underwent V osteotomy via the calcaneus and talus, followed by gradual distraction of soft tissue and bone for foot reconstruction. Eight of the clubfeet were idiopathic and had undergone previous surgeries. The remaining 6 were neurogenic and their pathologies were: Charcot-Marie-Tooth disease (n=2), myelomeningocele (n=2), neurofibromatosis (n=1), and distal arthrogryposis (n=1). Three of them had undergone previous surgeries. The Ilizarov frames were retained for 3 to 6 months and the patients were followed up for 1.8 to 8.9 years. Range of movement of the ankle and foot, appearance and position, gait, pain, function, and patient satisfaction were assessed according to the modified clubfoot grading system. The talo-1st metatarsal angle was measured on anteroposterior radiographs. Scores associated with the appearance and position of the foot, and thus patient satisfaction were significantly improved, but not for range of movement, pain, and function. The mean preoperative and final talo-1st metatarsal angles were 39.7 and 8.7 degrees, respectively (p<0.01). Ten feet a...Continue Reading

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Citations

Aug 3, 2011·Strategies in Trauma and Limb Reconstruction·Alexander KirienkoValentina Necci
Dec 17, 2011·Journal of Pediatric Orthopedics·Atef Hassan, Merv Letts
Jul 28, 2019·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Alexa CirilloNoémi Dahan-Oliel
Jul 28, 2019·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Marianne GagnonNoémi Dahan-Oliel
Jan 26, 2012·Clinical Orthopaedics and Related Research·Zhenhua Fang
Jun 18, 2021·International Journal of Surgery Case Reports·Ihsan Oesman, Chintya Mutiara Sari

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