The deformity correction and fixator-assisted treatment using Ilizarov versus Taylor spatial frame in the foot and ankle

Manggala, Yudha; Angthong, Chayanin; Primadhi, Andri; Kungwan, Supoj

doi:10.4081/or.2017.7337

Cited by 9 publications

(12 citation statements)

References 12 publications

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“…Even the classification of the type of complications varies widely, whether major or minor, simple or complicated, or affecting the final outcome [36,37]. Many reports describe relatively small numbers of patients operated on by many surgeons with variable clinical experience over long time periods and sometimes in many centres [38][39][40][41]. It is difficult to reach valid conclusions when only a few patients are operated on every year (Table 1) [26,36,[38][39][40][41][42][43].…”

Section: Complicationsmentioning

confidence: 99%

Limb lengthening history, evolution, complications and current concepts

Hosny

2020

J Orthop Traumatol

106

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Limb lengthening continues to be a real challenge to both the patient and the orthopaedic surgeon. Although it is not a difficult operative problem, there is a long and exhausting postoperative commitment which can jeopardize early good results. I aim to review the history, evolution, biology, complications and current concepts of limb lengthening. Ilizarov's innovative procedure using distraction histeogenesis is the mainstay of all newly developing methods of treatment. The method of fixation is evolving rapidly from unilateral external fixator to ring fixator, computer assisted and finally lengthening intramedullary nails. The newly manufactured nails avoid many of the drawbacks of external fixation but they have their own complications. In general, the indications for limb lengthening are controversial. The indications have been extended from lower limb length inequality to upper extremity lengthening, including humeral, forearm and phalangeal lengthening. A wide range in frequency of complications is recorded in the English literature, which may reach up to 100% of cases treated. With developing experience, cosmetic lengthening has become possible using external or internal lengthening devices with an acceptable rate of problems. Level of evidence: V.

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Section: Complicationsmentioning

confidence: 99%

Limb lengthening history, evolution, complications and current concepts

Hosny

2020

J Orthop Traumatol

106

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“…The mean time required for equinus correction stage was 6 weeks (range 3-8), while the AAA stage or time to fusion lasted on average 25 weeks (range, 20-29). The overall total frame time was 31 weeks (range, [23][24][25][26][27][28][29][30][31][32][33][34][35].…”

Section: Resultsmentioning

confidence: 99%

Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis

et al. 2021

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Background: Posttraumatic ankle equinus is associated with rigid deformity, poor skin condition, and multiple prior surgeries. Open acute correction has been described using osteotomies, talectomy, and arthrodesis, but concerns exist about skin complications, neurologic alterations, secondary limb discrepancy, and bone loss. Gradual correction using a multiplanar ring fixator and arthroscopic ankle arthrodesis (AAA) may decrease these complications. Methods: We retrospectively reviewed patients undergoing correction of posttraumatic rigid equinus with at least 1 year of follow-up after frame removal. The procedure consisted of percutaneous Achilles lengthening, gradual equinus correction using a multiplanar ring fixator, and AAA retaining the fixator in compression with screw augmentation. Frame removal depended on signs of union on the computed tomography scan. Visual analog scale (VAS) and Foot Function Index (FFI) scores were assessed as well as preoperative and postoperative x-rays. Complications were noted throughout the follow-up period. Results: Five patients were treated with a mean age of 35 years and mean follow-up of 31 months. Deformities were gradually corrected into a plantigrade foot over an average duration of 6 weeks. Union was achieved in all patients with a mean time of an additional 25 weeks, for a mean total frame time of 31 weeks. The mean preoperative tibiotalar angle was 151 degrees and was corrected to 115 degrees. FFI score improved from a mean of 87 to 24 and VAS from 8 to 2. Conclusion: Posttraumatic rigid equinus can be treated effectively using gradual correction followed by integrated AAA in a safe and reproducible manner. Patients in this series had excellent functional, radiological, and satisfaction results. Level of Evidence: Level IV, retrospective case series.

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“…However, during the correction period, complicated deformities require the hinges to be changed or a new frame to be formed, and this procedure is very time consuming and may also reduce patient compliance. [5,14] Hexapod fixator system (Smart Correction Frame ® , İlerimed Sağlık Ürünleri Tic. A.Ş., Istanbul, Turkey) uses circular external fixation with six-axis deformity correction which was created by computer software.…”

Section: Discussionmentioning

confidence: 99%

Supramalleolar osteotomy with a hexapod type external fixator for the treatment of ankle joint three planar deformity: Case report

Cinar

Güler

2020

Jt Dis Relat Surg

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The varus ankle deformity can lead to osteoarthritis; therefore, numerous supramalleolar tibia osteotomy techniques are described to correct this deformity. Many of these techniques are more suitable for uniplanar ankle deformity. Particularly, if there are multiplane ankle deformities, the use of the six-axis deformity correction system may be successful in solving the problems which may occur during the correction. In this article, we report two cases of three plane deformities of ankle joint due to trauma sequelae, which were treated with supramalleolar osteotomy using a hexapod fixator which is called the Smart Correction Frame ® .

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The deformity correction and fixator-assisted treatment using Ilizarov versus Taylor spatial frame in the foot and ankle

Cited by 9 publications

References 12 publications

Limb lengthening history, evolution, complications and current concepts

Limb lengthening history, evolution, complications and current concepts

Treatment of Severe Rigid Posttraumatic Equinus Deformity With Gradual Deformity Correction and Arthroscopic Ankle Arthrodesis

Supramalleolar osteotomy with a hexapod type external fixator for the treatment of ankle joint three planar deformity: Case report

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