Ilizarov in relapsed clubfoot

Gupta, Prabha Nini; Bither, Nitin

doi:10.1097/bpb.0b013e32836486de

Cited by 12 publications

(8 citation statements)

References 17 publications

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“…Bloodless gradual correction of pediatric clubfoot from the age of 1 year became possible in neglected cases [ 27 ]. The Ilizarov techniques for adult multicomponent foot deformities using osteotomies offered versatility in foot position correction, enabling correction of all the components of severe deformities with three-dimensional control and lengthening of foot bones [ 64 – 66 ]. Ilizarov and his “hand” team invented a mini-fixator for short tubular bones that has been widely used in the Centre for management of congenital or posttraumatic disorders such as shortened hand bones, finger stumps and syndactyly [ 67 , 68 ].…”

Section: Ilizarov Methods In the Contemporary Orthopaedic Practicementioning

confidence: 99%

Contribution of G.A. Ilizarov to bone reconstruction: historical achievements and state of the art

Губин¹,

Borzunov²,

Марченкова³

et al. 2016

Strategies in Trauma and Limb Reconstruction

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Methodological solutions of Prof. G.A. Ilizarov are the core stone of the contemporary bone lengthening and reconstruction surgery. They have been acknowledged in the orthopaedic world as one of the greatest contributions to treating bone pathologies. The Ilizarov method of transosseous compression–distraction osteosynthesis has been widely used for managing bone non-union and defects, bone infection, congenital and posttraumatic limb length discrepancies, hand and foot disorders. The optimal conditions for implementing distraction and compression osteogenesis were proven by numerous experimental studies that Prof. G.A. Ilizarov organized and supervised at a large orthopaedic research institute in Kurgan. The tension stress effect on regeneration and growth of tissues was thoroughly investigated with radiographic, histological and biochemical methods. The impact of the Ilizarov method on the progress of bone lengthening and reconstruction surgery could be called revolutionary.

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Section: Ilizarov Methods In the Contemporary Orthopaedic Practicementioning

confidence: 99%

Contribution of G.A. Ilizarov to bone reconstruction: historical achievements and state of the art

Губин¹,

Borzunov²,

Марченкова³

et al. 2016

Strategies in Trauma and Limb Reconstruction

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“…While specific details of frame assembly and fixation vary depending on the deformity, osteotomy location, and method of correction, some general guidelines of frame assembly are available in the literature. For clubfoot correction utilizing Ilizarov type external fixators, the standard frame consists of two tibial rings secured with crossing tensioned fine wires and/or half pins, a forefoot half ring secured with tensioned olive wires traversing the first and fifth metatarsal necks, and calcaneal half ring secured with two oppositely directed tensioned olive wires through the calcaneal tuberosity (3,(5)(6)(7)(8)(9)(10). In pediatric patients, an additional tensioned wire is often placed through the distal tibial epiphysis and secured to the tibial ring to prevent epiphysiolysis during correction (11).…”

Section: Fixator Configurationsmentioning

confidence: 99%

“…Indications for soft tissue release and osteotomies to aid in correction of clubfoot deformity with Ilizarov and hexapod fixators are not well established. Paley outlined guiding principles for the correction of complex foot deformities using (3,(6)(7)(8)(9)(10)12,13,15,16).…”

Section: Soft Tissue Releases and Osteotomiesmentioning

confidence: 99%

“…Early complications include pin tract infections, soft tissue compromise, joint subluxation, flexion deformities of the toes, epiphysiolysis and premature consolidation of osteotomy sites. Pin tract infections are extremely common, the majority of which can be treated with oral antibiotics or pin removal (5,6,8,10,14,17). Osteomyelitis may develop and can present even after frame removal (16).…”

Section: Complicationsmentioning

confidence: 99%

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Narrative review of ring fixator management of recurrent club foot deformity

Meyer¹,

Zide²,

Cherkashin³

et al. 2021

Ann Transl Med

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Despite the widespread use of the Ponseti method for treatment of clubfeet, there continue to be a significant number of patients who present with a severe, stiff clubfoot as a result of extensive intraarticular soft tissue release or lack of access to care. In such patients, circular external fixators can be utilized for deformity correction with distraction across soft tissues, joints, and osteotomies. Ilizarov or hexapod circular fixators may be utilized according to surgeon preference. Indications for soft tissue release and osteotomies to aid in correction of clubfoot deformity with Ilizarov and hexapod fixators are not standardized and are guided by patient age, joint congruity, soft tissue suppleness, and osseous deformity. Correction time varies according to clubfoot deformity severity. Following deformity correction, external fixators are left in place for several weeks to stabilize the soft tissues and allow for osteotomy healing. Complications range from relatively minor pin tract infections that resolve with oral antibiotics to tarsal tunnel syndrome, osteomyelitis, or disabling arthritis requiring revision procedures. At Scottish Rite Hospital for Children, we prefer to correct severe residual clubfoot deformity with a hexapod external fixator. Acute correction and gradual correction via distraction are considered for each segmental deformity and utilized to efficiently correct deformity while minimizing soft tissue trauma. The purpose of this article is to summarize the relevant literature related to circular external fixator treatment of recurrent clubfoot deformity and outline our approach to the segmental deformities of the foot and ankle in this patient population.

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“…Cuboid subtraction osteotomy with a posteromedial release was demonstrated as an effective approach to manage stiff neglected clubfoot deformity in children older than 5 years old [56]. Multiple reports suggested the Ilizarov technique can achieve plantigrade feet and a good clinical outcome in children up to age 14 [57,58].…”

Section: Management Of Neglected Clubfeetmentioning

confidence: 99%