title: Ilizarov external fixator for correction of complex foot deformities.
abstract: OBJECTIVE
  This study aims to evaluate the outcomes of the Ilizarov external fixator for the correction of complex foot deformities.
  
  
  METHODS
  Between January 2000 and September 2005, 29 feet of 25 patients (18 males, 7 females; mean age 13.7 years; range 5 to 24 years) who were applied Ilizarov external fixators due to complex foot deformities in our clinic were prospectively analyzed. Four patients had bilateral foot deformity. The distribution of the deformities was as follows: hindfoot inversion (calcaneovarus) in 29, forefoot equines (cavus) in 29, forefoot adductus in 28, forefoot and hindfoot supination in 27 and forefoot and hindfoot pronation in one foot. The mean length of hospital stay was 9.4 weeks (range, 6 to 18 weeks). Osteotomy was required in nine patients with ages ranging from 13 to 24. Middle subtalar osteotomy was applied on six patients, while three patients received subtalar osteotomy. In three patients, release was provided by removal of incision scar tissue. The mean follow-up was 48 months (range, 16-65 months).
  
  
  RESULTS
  The mean treatment period was 21.6 weeks (range, 18-31 weeks). All patients walked better following treatment. According to Paley's criteria, 27 feet were evaluated as plantigrade (flat) and two as non-plantigrade (non-flat). Two patients suffered from pain. The success rate of the treatment was 86.2%.
  
  
  CONCLUSIONS
  Ilizarov method appears to be an efficient approach thanks to the three dimensional characteristic of the foot and fixator in the correction of complicated foot deformities.
authors.affiliation: Department of Orthopedics and Traumatology, Atatürk Training and Research Hospital, Ankara, Turkey.
authors.forename: Osman
authors.initials: O
authors.lastname: Tecimel
authors.forename: Ali
authors.initials: A
authors.lastname: Öçgüder
authors.forename: Metin
authors.initials: M
authors.lastname: Doğan
authors.forename: Mahmut
authors.initials: M
authors.lastname: Uğurlu
authors.forename: Murat
authors.initials: M
authors.lastname: Bozkurt
authors.forename: Sabri
authors.initials: S
authors.lastname: Ateşalp
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D008297:Male; D011446:Prospective Studies; D011859:Radiography; D016896:Treatment Outcome