[Treatment of burn cicatricial foot drop with Ilizarov fixator].
OBJECTIVE
To investigate the efficacy of Ilizarov fixator on cicatricial foot drop after burn.


METHODS
Six patients with cicatricial foot drop after burn were treated with Ilizarov fixator during June 2004 approximately October 2007, the fixator was set on the leg and foot by fixed bone needles. Nuts on the threaded rod were turned from 3 post operation day, 2 approximately 4 rounds per time and 4 times per day in the first week, then 1 approximately 2 rounds per time and 4 times a day, which corrected the deformity of talipes equinus by shortening or lengthening the thread rod in the front and at the back. Ankle joint was maintained in neutral position for 2 approximately 3 months after effective correction. Weight carrying for patients was increased gradually after removal of fixator. Ankle joint was maintained in neutral position with fixator at least three months. Patients were followed up 5 approximately 10 months.


RESULTS
Ankle joints from all patients were restored to neutral position after application with fixator for 4 approximately 6 weeks. All patients achieved 0 degrees dorsiflexion in weight carrying for whole planta pedis after use of fixator for 12 approximately 15 weeks with good locomotion function.


CONCLUSIONS
Ilizarov fixator is safe and mini-injury, which is an effective method for treatment of cicatricial foot drop.
Shen
Yu-ming
YM
Department of Burns, Jishuitan Hostipal, Beijing 100035, PR China.
Huang
Lei
L
Hu
Xiao-hua
XH
Li
Ming
M
Zhang
Guo-an
GA
D000293:Adolescent; D000328:Adult; D002056:Burns / Q000150:complications / Q000601:surgery; D002648:Child; D002921:Cicatrix / Q000209:etiology / Q000601:surgery*; D003025:Clubfoot / Q000209:etiology / Q000601:surgery; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D016267:External Fixators; D005260:Female; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult