The Gradual and Acute Correction of Equinus Using External Fixation

Subik, Michael; Shearer, Mark; Saleh, A; LaPorta, Guido A.

doi:10.1016/j.cpm.2018.05.007

Cited by 6 publications

(3 citation statements)

References 31 publications

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“…The Ilizarov techniques of gradual correction in multicomponent foot deformities and gradual soft tissue distraction with open releases and/or bony procedures can achieve a pain-free and plantigrade foot[ 95 - 99 ]. Placement of the Ilizarov-type frame on the foot and its adjustments require both an experienced surgeon and a motivated patient but the techniques achieve the goals both in bone reconstruction and functionality of the foot.…”

Section: Current Clinical Practice and Research In The Ilizarov Techniques Of Bone Reconstructionmentioning

confidence: 99%

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

Malkova

Borzunov

2021

WJO

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The Ilizarov method is one of the current methods used in bone reconstruction. It originated in the middle of the past century and comprises a number of bone reconstruction techniques executed with a ring external fixator developed by Ilizarov GA. Its main merits are viable new bone formation through distraction osteogenesis, high union rates and functional use of the limb throughout the course of treatment. The study of the phenomenon of distraction osteogenesis induced by tension stress with the Ilizarov apparatus was the impetus for advancement in bone reconstruction surgery. Since then, the original method has been used along with a number of its modifications developed due to emergence of new fixation devices and techniques of their application such as hexapod external fixators and motorized intramedullary lengthening nails. They gave rise to a relatively new orthopedic subspecialty termed “limb lengthening and reconstruction surgery”. Based on a comprehensive literature search, we summarized the recent clinical practice and research in bone reconstruction by the Ilizarov method with a special focus on its modification and recognition by the world orthopedic community. The international influence of the Ilizarov method was reviewed in regard to the origin country of the authors and journal’s rating. The Ilizarov method and other techniques based on distraction osteogenesis have been used in many countries and on all populated continents. It proves its international significance and confirms the greatest contribution of Ilizarov GA to bone reconstruction surgery.

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Section: Current Clinical Practice and Research In The Ilizarov Techniques Of Bone Reconstructionmentioning

confidence: 99%

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

Malkova

Borzunov

2021

WJO

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“…These procedures are not only technically challenging but could also endanger the surrounding soft tissue envelope, precipitate neurological complications, produce bone loss, and generate limb length discrepancies and shortening alterations of the foot. 21,46 The use of external fixation in the treatment of equinus deformities has been widely described, allowing a controlled gradual correction of the deformity at the level of the ankle joint, thus diminishing these complications. 28,32,45,46,52 Equinus contracture may be present as an isolated deformity, but it may also be part of more complex foot and ankle pathology when it is simultaneously present with other deformities of the hindfoot, midfoot, and forefoot.…”

mentioning

confidence: 99%

“…21,46 The use of external fixation in the treatment of equinus deformities has been widely described, allowing a controlled gradual correction of the deformity at the level of the ankle joint, thus diminishing these complications. 28,32,45,46,52 Equinus contracture may be present as an isolated deformity, but it may also be part of more complex foot and ankle pathology when it is simultaneously present with other deformities of the hindfoot, midfoot, and forefoot. The most common associated deformities are hindfoot varus and midfoot cavus.…”

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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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Towards collision detection in foot and ankle deformity correction using parallel external fixator: A novel analytical approach

Zuo

Dong

et al. 2022

Applied Mathematical Modelling

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The Gradual and Acute Correction of Equinus Using External Fixation

Cited by 6 publications

References 31 publications

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

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

Towards collision detection in foot and ankle deformity correction using parallel external fixator: A novel analytical approach

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The Gradual and Acute Correction of Equinus Using External Fixation

Cited by 6 publications

References 31 publications

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100thbirthday of G. A. Ilizarov)

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100thbirthday of G. A. Ilizarov)

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

Towards collision detection in foot and ankle deformity correction using parallel external fixator: A novel analytical approach

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International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100^thbirthday of G. A. Ilizarov)