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Published on: October 9, 2014
Outcome after foot and ankle deformity correction using circular external fixation
N F Elomrani1, A G Kasis, J E Tis
1Academic Unit of Orthopaedics, University of Sheffield, Northern General Hospital, Sheffield, U.K.
Foot & Ankle International
|January 5, 2006
Summary
Circular external fixation effectively treats severe foot and ankle deformities. However, complications, including amputation, were more frequent in patients with infected nonunions.
Area of Science:
- Orthopedic surgery
- Reconstructive surgery
Background:
- External fixation is a primary treatment for severe chronic foot and ankle deformities.
- This study details the experience and outcomes of using circular external fixation for these conditions.
Purpose of the Study:
- To evaluate the effectiveness and outcomes of circular external fixation in treating complex foot and ankle deformities.
Main Methods:
- A cohort of 55 patients (60 feet) underwent treatment with circular external fixation.
- The average patient age was 36 years, with a mean follow-up of 4.4 years.
- Patients spent an average of 2.1 months in external fixation.
Main Results:
- Overall results were categorized as excellent (6), good (35), fair (8), and poor (6).
- Five patients with poor outcomes required below-knee amputations.
- All amputations occurred in patients treated for infected nonunion of the ankle.
Conclusions:
- Circular external fixation is an effective treatment for diverse complex foot and ankle issues.
- Complication rates were higher in patients presenting with infected nonunions.

