ORIGINAL ARTICLE |
|
Year : 2017 | Volume
: 30
| Issue : 1 | Page : 310-315 |
|
Results of using the Ilizarov method for correction of complex foot and ankle deformities in skeletally mature patients
Hazem El-Tayeby1, Khaled Emara2, Hesham Ghoneem1, Ahmed Zayda1, Emad Badawy MSc 1
1 Department of Orthopedic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt 2 Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Correspondence Address:
Emad Badawy Department of Orthopedic Surgery, Faulty of Medicine, Menoufia University, Shebin El-Kom City, Menoufia Governorate, 32511 Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_6_16
|
|
Objective
Our aim was to study the results of correction of complex foot and ankle deformities in skeletally mature patients using the Ilizarov method with either osteotomy or arthrodesis.
Background
Complex foot and ankle deformity is a multiplanar one with shortening of the foot. Different corrective procedures have been described for correction of these deformities in skeletally mature patients, such as extensive soft tissue release with capsulotomy, tendon transfer, multiple osteotomies, and arthrodesis. Acute correction with internal fixation methods has many disadvantages such as excessive shortening of the foot, risk for neurovascular bundle injury, high risk for recurrence due to extensive scar formation, and high risk for wound complications.
Patients and methods
In this study, an Ilizarov external fixator was used for correction of 25 complex foot and ankle deformities in 23 patients with either bone osteotomy, which was done in 12 feet, or arthrodesis in another 13 feet.
Results
Complete clinical correction of all feet to a plantigrade position was obtained, gait was improved in all cases, and pain was the same, improved, or completely eliminated. Partial relapse of the deformity with recurrence of symptoms occurred in three cases.
Conclusion
The Ilizarov method of external fixation is an effective, safe, and reliable method for correction of complex foot and ankle deformities in skeletally mature patients, where correction is achieved by performing gradual distraction of foot osteotomies or arthrodesis.
|
|
|
|
[FULL TEXT] [PDF]* |
|
|
|