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Correction of poliomyelitis foot deformities with Ilizarov method
Alexander Kirienko1, Andrea Peccati, Ibrahim Abdellatif
1Università degli Studi di Milano, Milan, Italy, alexander.kirienko@humanitas.it.
Strategies in Trauma and Limb Reconstruction
|August 3, 2011
Summary
The Ilizarov method effectively corrects severe foot deformities and limb length discrepancies caused by poliomyelitis. This treatment resulted in painless, plantigrade feet and improved patient gait with minimal complications.
Area of Science:
- Orthopedic Surgery
- Pediatric Infectious Diseases
- Biomedical Engineering
Background:
- Poliomyelitis, a viral disease, frequently causes lower motor neuron damage, leading to flaccid paralysis and significant foot deformities, especially in developing nations.
- Foot deformities are a common sequela of poliomyelitis, impacting patient mobility and quality of life even after treatment.
Purpose of the Study:
- To evaluate the efficacy of the Ilizarov fixator in correcting severe foot deformities associated with poliomyelitis.
- To assess the outcomes of Ilizarov treatment regarding foot function, cosmesis, and limb length discrepancy.
Main Methods:
- A retrospective study of 27 patients treated with the Ilizarov fixator for poliomyelitis-related foot deformities between 1994 and 2007.
- The Ilizarov method was employed to achieve progressive correction of deformities, aiming for a stable, plantigrade, and aesthetically acceptable foot.
Main Results:
- All patients achieved a painless, plantigrade foot, with limb length discrepancies corrected.
- Patients reported satisfaction with their gait post-treatment compared to their preoperative status.
- The mean duration of treatment in the fixator was 4.2 months, with a mean follow-up of 7.17 years and no major complications.
Conclusions:
- The Ilizarov method offers a minimally invasive surgical approach for simultaneous correction of complex foot deformities and limb lengthening discrepancies in poliomyelitis patients.
- This technique reduces the risk of cutaneous and neurovascular complications and prevents significant foot shortening.
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