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[Treatment for recurrent clubfoot with the Ilizarov technique]
T Lejman1, J Sułko, B Kowalczyk
1Oddziału Ortopedii Kliniki Chirurgii Dzieciecej, Krakowie.
Insights
The Ilizarov technique effectively treated recurrent clubfoot in children, with good outcomes in most cases. This method is not recommended for patients with cerebral palsy or meningomyelocele.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Limb Deformity Correction
Background:
- Recurrent clubfoot presents a significant challenge in pediatric orthopedics.
- Traditional surgical methods for recurrent clubfoot can have limitations.
Purpose of the Study:
- To evaluate the efficacy of the Ilizarov technique for treating recurrent clubfoot in children.
- To identify optimal Ilizarov distractor configurations for deformity correction.
Main Methods:
- The Ilizarov technique was applied to 34 recurrent clubfeet in 31 children (age 2.5-14 years).
- No additional surgical procedures were performed.
- Various distractor configurations were utilized, with a focus on hinge connections.
Main Results:
- Overall, 26 out of 34 cases (76%) achieved good results.
- Four cases were rated as fair, and four as poor.
- Mean follow-up was 22 months (range 9-31 months).
Conclusions:
- The Ilizarov technique is a viable option for treating recurrent clubfoot in pediatric patients.
- Simultaneous correction of all deformity components is facilitated by hinge connections.
- The Ilizarov method is contraindicated in cases of cerebral palsy and meningomyelocele.
Abstract:
Jlizarov technique was used to treat 34 recurrent clubfeet in 31 children between 1993 and 1996. No additional surgery was done; various configurations of the distractor were employed. The age at the operation ranged from 2.5 to 14 years (mean 6.7) and mean follow-up was 22 months (range 9-31 months). Twenty-six results were rated good, 4 fair and 4 poor. The authors claim ilizarov method is contraindicated in cerebral palsy and meningomyelocele. The ideal arrangement of the distractor is hinge connection between all rings and semi-rings allowing for simultaneous correction of all components of the deformity.
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