title: Correction of a severe poliomyelitic equinocavovarus foot using an adjustable external fixation frame.
abstract: One-stage surgical correction of severe equinocavovarus deformity can result in complications ranging from skin necrosis to tibial nerve palsy. Fewer complications have been reported when severe deformities were treated by gradual correction using external frames such as the Ilizarov external fixator or the Taylor Spatial Frame™. We describe a case of a 64-year-old female patient with severe poliomyelitic equinocavovarus whose deformity required her to ambulate using the dorsum of her right foot as a weightbearing surface. We treated the deformity with gradual correction using a Taylor Spatial Frame™, followed by ankle arthrodesis. At the most recent postoperative evaluation, 20 months after the initial surgery, the patient was pain free and ambulating on the sole of her right foot.
authors.affiliation: Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Issei
authors.initials: I
authors.lastname: Nomura
authors.affiliation: Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Watanabe
authors.affiliation: Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Matsubara
authors.affiliation: Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan.
authors.forename: Hideji
authors.initials: H
authors.lastname: Nishida
authors.affiliation: Department of Orthopaedics, Kyoto Prefectural University of Medicine, Kyoto, Japan.
authors.forename: Toshiharu
authors.initials: T
authors.lastname: Shirai
authors.affiliation: Department of Orthopaedic Surgery, Kanazawa University Graduate School of Medical Science, Kanazawa, Japan. Electronic address: tsuchi@med.kanazawa-u.ac.jp.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tsuchiya
mesh_terms: D003025:Clubfoot / Q000209:etiology / Q000601:surgery; D016267:External Fixators; D005260:Female; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D016523:Foot Ulcer / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011051:Poliomyelitis / Q000150:complications*
keywords: Taylor Spatial Frame™; circular frame; paralytic equinocavovarus; reconstructive surgery