Management of the neuromuscular foot deformities with the Ilizarov method.
Nine feet of eight patients with neurologic foot deformities caused from poliomyelitis, Charcot-Marie-Tooth disease, and traumatic nerve injury were treated with V-osteotomy and the Ilizarov method. A painless and plantigrade foot was obtained in all but one patient. A residual deformity occurred in this case because of the soft-tissue problems during the correction period. No major complication had been encountered by the latest follow-up at a mean of 42 months. The results of the current study indicate that the V-osteotomy and the Ilizarov method, while technically difficult, is an effective method for correcting neurologic foot deformities and obtaining a stable, plantigrade, painless foot, especially when complicated with other lower leg problems (i.e., leg length discrepancy, joint contractures).
Kucukkaya
Metin
M
1st Department of Orthopaedics and Traumatology, Sisli Etfal Research and Training Hospital, Istanbul, Turkey. mkucukkaya@hotmail.com
Kabukcuoglu
Yavuz
Y
Kuzgun
Unal
U
D000293:Adolescent; D000328:Adult; D002648:Child; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique / Q000295:instrumentation*; D008297:Male; D009468:Neuromuscular Diseases / Q000150:complications*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012720:Severity of Illness Index; D016896:Treatment Outcome