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Relapsed clubfoot correction with soft-tissue release and selective application of Ilizarov technique.

Malizos KN, Gougoulias NE, Dailiana ZH, Rigopoulos N, Moraitis T - Strategies Trauma Limb Reconstr (2008)

Bottom Line: Postoperative radiographic measurements revealed values that can be considered as normal.Complications included pin tract infections (12% of inserted wires).Flat-topped talus was observed in 3 feet.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Thessalia, 22 Papakiriazi St, 41222, Larissa, Greece, malizos@med.uth.gr.

ABSTRACT
The Ilizarov technique is an alternative for the treatment of complex foot deformities in children. The authors retrospectively reviewed children with relapsed clubfoot deformity, treated with soft tissue procedures and additional correction with an Ilizarov frame. Twelve consecutive patients (13 feet) with relapsed clubfoot deformity after previous surgical correction were reviewed. Treatment included open releases. An Ilizarov frame was applied as an adjunct in seven patients (mean age of 7.8 years) with severe deformity where complete intraoperative correction was not achieved. Clinical and radiographic assessment was undertaken. The mean Laaveg-Ponseti score, for the 7 feet treated with the Ilizarov frame, was 85.1 after minimum 4 years follow-up. One recurrence of forefoot deformity required metatarsal osteotomies. Postoperative radiographic measurements revealed values that can be considered as normal. Complications included pin tract infections (12% of inserted wires). Flat-topped talus was observed in 3 feet. Deformity correction was possible when soft tissue procedures were combined with the use of Ilizarov technique, in order to support and gradually improve surgical correction.

No MeSH data available.


Related in: MedlinePlus

Relapsed stiff clubfoot deformity (a) required soft tissue releases (b) combined with application of an Ilizarov frame (c) at the age of 3 years. Forefoot deformity recurrence (d) at the age of 6 years required proximal metatarsal osteotomies. Good alignment is maintained at the age of 10 years (e–i). Flat topped talus on the lateral radiograph (f)
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Fig3: Relapsed stiff clubfoot deformity (a) required soft tissue releases (b) combined with application of an Ilizarov frame (c) at the age of 3 years. Forefoot deformity recurrence (d) at the age of 6 years required proximal metatarsal osteotomies. Good alignment is maintained at the age of 10 years (e–i). Flat topped talus on the lateral radiograph (f)

Mentions: Complications included pin tract infections (12% of inserted wires), all resolving with local care. A flat-topped talus (Fig. 3f) was observed in 3 feet (Table 1, patients 3, 7, 8). Talonavicular subluxation, distal tibia epiphysiolysis, or claw-toe deformities were not observed. External fixator intolerance was not reported by any of the patients or their parents.Fig. 3


Relapsed clubfoot correction with soft-tissue release and selective application of Ilizarov technique.

Malizos KN, Gougoulias NE, Dailiana ZH, Rigopoulos N, Moraitis T - Strategies Trauma Limb Reconstr (2008)

Relapsed stiff clubfoot deformity (a) required soft tissue releases (b) combined with application of an Ilizarov frame (c) at the age of 3 years. Forefoot deformity recurrence (d) at the age of 6 years required proximal metatarsal osteotomies. Good alignment is maintained at the age of 10 years (e–i). Flat topped talus on the lateral radiograph (f)
© Copyright Policy
Related In: Results  -  Collection

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getmorefigures.php?uid=PMC2599798&req=5

Fig3: Relapsed stiff clubfoot deformity (a) required soft tissue releases (b) combined with application of an Ilizarov frame (c) at the age of 3 years. Forefoot deformity recurrence (d) at the age of 6 years required proximal metatarsal osteotomies. Good alignment is maintained at the age of 10 years (e–i). Flat topped talus on the lateral radiograph (f)
Mentions: Complications included pin tract infections (12% of inserted wires), all resolving with local care. A flat-topped talus (Fig. 3f) was observed in 3 feet (Table 1, patients 3, 7, 8). Talonavicular subluxation, distal tibia epiphysiolysis, or claw-toe deformities were not observed. External fixator intolerance was not reported by any of the patients or their parents.Fig. 3

Bottom Line: Postoperative radiographic measurements revealed values that can be considered as normal.Complications included pin tract infections (12% of inserted wires).Flat-topped talus was observed in 3 feet.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Thessalia, 22 Papakiriazi St, 41222, Larissa, Greece, malizos@med.uth.gr.

ABSTRACT
The Ilizarov technique is an alternative for the treatment of complex foot deformities in children. The authors retrospectively reviewed children with relapsed clubfoot deformity, treated with soft tissue procedures and additional correction with an Ilizarov frame. Twelve consecutive patients (13 feet) with relapsed clubfoot deformity after previous surgical correction were reviewed. Treatment included open releases. An Ilizarov frame was applied as an adjunct in seven patients (mean age of 7.8 years) with severe deformity where complete intraoperative correction was not achieved. Clinical and radiographic assessment was undertaken. The mean Laaveg-Ponseti score, for the 7 feet treated with the Ilizarov frame, was 85.1 after minimum 4 years follow-up. One recurrence of forefoot deformity required metatarsal osteotomies. Postoperative radiographic measurements revealed values that can be considered as normal. Complications included pin tract infections (12% of inserted wires). Flat-topped talus was observed in 3 feet. Deformity correction was possible when soft tissue procedures were combined with the use of Ilizarov technique, in order to support and gradually improve surgical correction.

No MeSH data available.


Related in: MedlinePlus