Correction of persistent clubfoot deformities with the Ilizarov external fixator. Experience in 10 previously operated feet followed for 2-5 years.
We reviewed the outcome in 10 idiopathic clubfeet in 7 patients treated with the Ilizarov external fixator (IEF) for persistent foot deformities after previous surgery. After follow-up of a median of 40 (25-56) months, 6 patients/parents were satisfied with the results and most of them reported better walking capacity and fewer problems finding shoes that fit. Severe equinus deformity was seen in 9/10 feet prior to treatment in the IEF and in no foot at follow-up. However, persistent reduction of ankle joint motion, limited walking capacity and intermittent pain were commonly found.
Wallander
H
H
Department of Orthopedics, Gävle Hospital, Uppsala, Sweden.
Hansson
G
G
Tjernström
B
B
D000293:Adolescent; D002648:Child; D003025:Clubfoot / Q000601:surgery*; D016267:External Fixators; D005500:Follow-Up Studies; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D017211:Treatment Failure; D016896:Treatment Outcome