Patient-based outcomes after Ilizarov surgery in resistant clubfeet

Utukuri, M. M.; Ramachandran, Manoj; Hartley, Jeanne; Hill, Robert A.

doi:10.1097/01202412-200607000-00009

Cited by 27 publications

(15 citation statements)

References 8 publications

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“…Paley described the Ilizarov external fixator as a tool for correction of clubfoot deformity [18]. The Ilizarov frame corrects the three-dimensional foot deformity simultaneously, without shortening the foot [6,24]. Gradual lengthening of the blood vessels, nerves, muscles, connective tissues, and skin may reduce the risks of neurovascular damage, skin necrosis, and secondary infection [25].…”

Section: Introductionmentioning

confidence: 99%

Does Short-term Application of an Ilizarov Frame with Transfixion Pins Correct Relapsed Clubfoot in Children?

Refai

Song

2012

Clinical Orthopaedics &Amp; Related Research

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Background Treatment of relapsed clubfoot after soft tissue release in children is difficult because of the high recurrence rate and related complications. Even though the Ilizarov method is used for soft tissue distraction, there is a high incidence of recurrence after removal of the Ilizarov frame owing to previous contracture of soft tissue and a skin scar. Questions/Purposes We asked (1) whether transfixation of midfoot joints by temporary K wires during the consolidation stage after short-term application of an Ilizarov frame would maintain correction of the relapsed clubfoot clinicoradiologically and (2) whether this method would reduce the rate of recurrence and related complications in patients with a skin scar from previous surgery.

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Section: Introductionmentioning

confidence: 99%

Does Short-term Application of an Ilizarov Frame with Transfixion Pins Correct Relapsed Clubfoot in Children?

Refai

Song

2012

Clinical Orthopaedics &Amp; Related Research

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“…They reported on 14 of 19 feet graded good or excellent and 13 of 14 children satisfied with the results of the treatment. Utukuri et al 17. treated 26 resistant clubfeet in 23 children using Ilizarov technique.…”

Section: Discussionmentioning

confidence: 99%

“…De La Huerta20 reported on 12 feet in seven adults with the achievement of complete correction in all patients except three in whom mild adduction of the forefoot reoccurred17 [Table 2]. …”

Section: Discussionmentioning

confidence: 99%

Resistant clubfoot deformities managed by Ilizarov distraction histogenesis

Makhdoom

Qureshi

Jokhio

et al. 2012

IJOO

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Background:Resistant clubfoot deformities of the foot and ankle remain a difficult problem even for the most experienced surgeon. We report a series of neglected resistant clubfoot deformities treated by limited surgery and Ilizarov distraction histogenesis.Materials and Methods:Twenty one patients with 27 feet having resistant clubfoot deformities were managed by Ilizarov distraction histogenesis from April 2005 to May 2008. The mean age was 12 years (range 8–20 years). A limited soft tissue dissection like percutaneous Achilles sheath tenotomy and plantar fasciotomy were done. Progressive correction of the deformities was achieved through the standard and simple Ilizarov frame construct setting. After removal of Ilizarov frame, a short leg walking cast was used for an additional 6 weeks, followed by an ankle foot orthrosis for 3 months.Results:The mean followup period was 18.7 months (range 20-36 months). The mean duration of fixator application was 3.6 months (range 3–5 months). At the time of removal of the fixator, a plantigrade foot was achieved in 25 feet and gait was improved in all patients. There was residual varus hind foot deformity in two patients. Out of 27 feet, 3 (11.11%) were rated as excellent, 17 (62.96%) as good, 5 (18.51%) as fair, and 2 (7.40%) as poor according to Reinkerand Carpenter scale. Excellent and good results (74.07%) were considered satisfactory, while fair and poor results (25.92%) were considered unsatisfactory.Conclusion:The short term clinical and functional results of resistant clubfoot deformities with Ilizarov's external fixator is promising and apparently a good option.

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“…The hinges around the ankle joint were at the centre of ankle rotation. 9,10 In the period of distraction, the tension over the soft tissues, the neurovascular status and presence of pain were monitored regularly.…”

Section: Methodsmentioning

confidence: 99%

Ilizarov technique and limited surgical methods for correction of post‐traumatic talipes equinovarus in children

Wang

Chang

et al. 2017

ANZ Journal of Surgery

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Background: The objective of this study was to evaluate the efficacy and safety of using Ilizarov invasive distraction technique combined with limited surgical operations in the treatment of post-traumatic talipes equinovarus in children. Methods: Eighteen cases of post-traumatic deformed feet in 15 patients who received the treatment of Ilizarov frame application, limited soft-tissue release or osteotomy were selected in this study. After removal of the frame, an ankle–foot orthosis was used continuously for another 6–12 months. Pre- and post-operatively, the International Clubfoot Study Group (ICFSG) score was employed to evaluate the gait and range of motion of the ankle joint. Radiographical assessment was also conducted. Results: Patients were followed up for 22 (17–32) months. Ilizarov frame was applied for a mean duration of 5.5 (4–9) months. When it was removed, the gait was improved significantly in all the patients. The correction time was 6–8 weeks for patients who underwent soft-tissue release and 8–12 weeks for those with bone osteotomy. At the last follow-up assessment, the differences between pre- and post-operative plantar-flexion angle, dorsiflexion, motion of ankle joint and talocalcaneal angle were significant (all P < 0.05). The observed complications included wire-hole infection in one foot, toe contracture in one, residual deformity in three, recurrence of deformity in two and spastic ischaemia in one foot. Conclusion: Our findings suggest that Ilizarov technique combined with limited surgical operation can be considered as an efficient and successful method for correction of post-traumatic talipes equinovarus in children.

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Patient-based outcomes after Ilizarov surgery in resistant clubfeet

Cited by 27 publications

References 8 publications

Does Short-term Application of an Ilizarov Frame with Transfixion Pins Correct Relapsed Clubfoot in Children?

Does Short-term Application of an Ilizarov Frame with Transfixion Pins Correct Relapsed Clubfoot in Children?

Resistant clubfoot deformities managed by Ilizarov distraction histogenesis

Ilizarov technique and limited surgical methods for correction of post‐traumatic talipes equinovarus in children

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