By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Finds complex equipment of correcting foot deformities utilizing the Ilizarov method. themes span ways to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Extra resources for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
When there is no tendency for recurrence and if active dorsiﬂexion is present, the apparatus can be removed. Plaster casting may not be necessary, but the use of an anteriorly built-up insole for the shoe of the aﬀected foot is needed for 2 months. Recurrence of equinus is possible in cases of congenital disease, such as arthrogryposis, or with the loss of anterior muscle, as in severe burn cases, poliomyelitis, or nerve injury. Recurrence in posttraumatic equinus is rare as long as the anterior tibial muscles are functional.
17a–c). 5-cm chisel allows a single cut. 18a–c). After the osteotomy and assembling of the ﬁrst section of the apparatus, the foot is set into a position of maximal correction and this position is maintained intraoperatively by the application of a gauze tension bandage from the forefoot to the frame. Finally, the ﬁnal components of the frame are applied and the tension bandage is removed. 16 Wire ﬁxation into the talus. (a) Transverse section on the horizontal plane. (b) Lateral view. (c) Assembly of the talus wires with the distal leg support.
Two technical points of frame application deserve special mention: 1. This unconstrained technique, in which the correction is done around the natural axes of rotation of the joints and soft-tissue hinges (5), is more forgiving than a constrained technique, in which correction is through a precisely placed pair of hinges along the defined anatomical axis of the joint. The two keys to the use of an unconstrained technique are that distraction must be applied to the ankle joint before any attempted correction and that posterior hinges are placed proximally on the tibial ring and distally on the metatarsal ring to allow translational movement.
Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities by Alexander Kirienko, Angelo Villa, Jason H. Calhoun