Awal Hakeem, Muhammad Siraj, Abid Ali, Qaisar Azim, Imran Ali, Asghar Essa, Jawad Mufti.
Functional Outcome of Neglected Club Foot Using Ilizarov External Fixator.
Ophthalmol Update Jan ;16(4):890-3.
Background: Neglected clubfoot (NC) includes a variable range of complex deformities of the foot that are refractory to conventional treatments or are treated inappropriately. The Ilizarov method has become established as a tool for treating these deformities Objectives: The main objective of this study is to evaluate the functional outcome of neglected club foot using ilizarov external fixator in case series. Materials and Methods: This study was conducted in Department of Orthopedics and Trauma, Khyber Teaching Hospital, Peshawar from January 2017 till December 2017. Data including age, gender, functional outcome and complications of surgery were documented on a pre-formed proforma. A limited soft tissue dissection like percutaneous Achilles sheath tenotomy and plantar fasciotomy were done, where needed. Progressive correction of the deformities was achieved through the standard and simple Ilizarov frame construct setting. After removal of Ilizarov frame, a short leg walking cast was used for an additional 6 weeks, followed by an ankle foot orthrosis for 3 months. SPSS 18 was used for analysis. Results: 18 feet in 12 patients were treated, 9 (72%) were male and 3 (28%) female. The mean age was 15 years (range: 6 to 30 years). The mean follow up period was 18 months. The final functional outcome according to Reinker and Carpenter scale was excellent in 5 (28%) feet, good in 10 feet (55%), fair in 2 (12%) and poor in 1(5%) feet. The main complications were pin track infection and loose wires. Conclusion: It is concluded from analyzing this case series that treatment of neglected clubfoot using an external fixator has a high rate of excellent results, with low frequency of complications.
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