Complex foot deformities associated with lower limb deformit
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Complex foot deformities (CFD) can be defined as multiplanar deformities, which are commonly complicated with lower limb deformities (LLD). The correction of this kind of deformities continues to be a difficult surgical challenge all over the world. Such deformities can be congenital or acquired, which are caused by neuromuscular disease, congenital talipes equinovarus (CTEV), neglected or relapsed clubfoot, poliomyelitis, osteomyelitis, bum contracture, and so on.

The aim of the current study is to introduce a new therapeutic strategy for the simultaneous correction of complex foot deformities (CFD) and the associated lower limb deformities (LLD) by using the Ilizarov technique with osteotomy and soft tissue procedure and to report its early clinical results.

Thirty-two patients were followed for an average of 42.8?months. The mean external fixation time (EFT) was 6.5 months. The mean healing index (HI) was 1.7 months/cm. At the time of fixator removal, plantigrade feet were achieved in all patient and lower limb deformities were corrected. No recurrence of the deformities occurred. The mean LLRS AIM score was improved from 7.5 to 0.3. At the final follow-up, the ASAMI-Paley score was graded as excellent in all limbs in the aspect of bone results, and functional results were defined as excellent in 29 (90.6%) limbs and good in 3 (9.4%) limbs.

Treatment of complex foot deformity combined with lower limb deformity by using the Ilizarov technique together with osteotomy and soft tissue procedure usually achieves good results. However, this method has a long learning curve. Many details still need to be continuously improved in practice.

Source:https://josr-online.biomedcentral.com/articles/10.1186/s13018-020-02021-w
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