Treatment of Equinocavovarus Deformity in Adults with the Use of a Hinged Distraction Apparatus*

Ilizarov techniques with limited adjunctive surgical procedures for the treatment of preadolescent recurrent or neglected clubfeet

“…Here, we used a descriptive one described by many authors on the basis of the presence or absence of foot deformity, gait, pain, shoe wearing, and parent satisfaction at the end of follow-up [8,14,15,20,21], where results were considered good if the foot is plantigrade with no recurrence of the deformity, the parents are satisfied, there was no pain, good walking capacity, and no problems with wearing shoes (Fig. 4); results were considered fair if there was a presence of a mild deformity that did not interfere with the use of a normal shoe, the parents were still satisfied, there was presence of mild pain that did not interfere with daily activities, and the patient could still walk for long distances; and results were considered poor if there was recurrence of deformity, marked pain, significant limitation of activity, and the parents were dissatisfied.…”

“…These ranged from just using soft-tissue distraction alone to achieve joint realignment (closed 'bloodless' technique) [2,3,[5][6][7][8][9][10][11][20][21][22]24,26] to the use of an adjunctive soft tissue release, foot distraction osteotomies, or both [2,[12][13][14][15][16][17][18][19]23,[27][28][29][30][31][32][33][34][35][36].…”

Tibial lengthening and concomitant foot deformity correction in 14 patients with permanent deformity after poliomyelitis

“…In these reports, patients experienced decreased walking speed due to weakness of the leg muscle, and equinus contracture of the ankle was the most common complication after tibial lengthening. The use of the Ilizarov method, with or without osteotomy of the tarsal bone, has been reported only for correction of foot deformity resulting from poliomyelitis (Paley 1993, Oganesyan et al 1996, Kocaoglu et al 2002, Kucukkaya et al 2002. Here we report the outcome of simultaneous tibial lengthening and foot deformity correction using the Ilizarov external fixator.…”

Correction of a Severe Poliomyelitic Equinocavovarus Foot Using an Adjustable External Fixation Frame

“…tendon transfer, wedge resection of the midfoot, triple arthrodesis, talar excision, and calcaneal osteotomy (1)(2)(3)(4). However, one-stage surgical correction of severe deformities, especially in adult patients, may result in complications such as tibial nerve palsy and skin necrosis.…”

“…However, one-stage surgical correction of severe deformities, especially in adult patients, may result in complications such as tibial nerve palsy and skin necrosis. Fewer complications have been reported when severe deformities were treated with gradual correction using external frames such as the Ilizarov external fixator or the Taylor Spatial Frame (TSF) (Smith & Nephew, Inc., Andover, Massachusetts) (1,2). The TSF is a ring-type external fixator that allows simultaneous correction of multifaceted deformities.…”