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Related Experiment Video

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Complex rigid foot deformity correction with hexapod external fixator system.

Sancar Bakircioglu1, Murat Danisman2, Ozan Tuncay3

  • 1Department of Orthopedics and Traumatology, TOBB Economy and Technology University, Ankara, Turkey. bakircioglusancar@gmail.com.

International Orthopaedics
|July 17, 2023
PubMed
Summary

The Smart Correction fixator system® effectively treats complex rigid foot deformities, achieving plantigrade alignment and improving patient outcomes. This computer-assisted method offers reliable three-plane correction and soft tissue balance.

Keywords:
Deformity correctionFoot deformityHexapod fixatorRigid foot

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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Foot and ankle reconstruction

Background:

  • Complex rigid foot deformities present challenges due to three-plane involvement and poor soft tissue coverage.
  • Gradual correction using computer-assisted fixators has emerged as a viable treatment option for these challenging deformities.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of the Smart Correction fixator system® in treating complex rigid foot deformities.
  • To report clinical experience with this innovative system for complex foot reconstruction.

Main Methods:

  • Retrospective analysis of 13 complex rigid foot deformities in 10 patients treated between 2016 and 2020.
  • Outcomes assessed using predefined criteria (good, fair, poor) and the Manchester-Oxford Foot Questionnaire (MOXFQ).
  • Statistical analysis included non-parametric Wilcoxon test and Fisher's exact test.

Main Results:

  • Successful achievement of plantigrade foot alignment in all patients.
  • Various osteotomy procedures (supramalleolar, midfoot, hindfoot) and soft tissue distraction were employed.
  • Significant improvement in mean MOXFQ scores from 72.7 preoperatively to 24.8 post-treatment.

Conclusions:

  • The Smart Correction fixator system® (SCF) is a reliable method for treating complex foot deformities.
  • SCF facilitates three-plane correction, gradual lengthening, and soft tissue balancing.
  • The system demonstrates potential for successful management of challenging foot deformities.