Minimally Invasive Surgery Using the Circular External Fixator to Correct Neglected Severe Stiff Equinocavus Foot Deformities:

Foot & Ankle Orthopaedics

Ricardo CardenutoFerreira¹ 

关键词: stiff foot;    cavus foot;    equinocavus;    equinovarus;    circular external fixator;    minimally invasive surgery;    distraction osteogenesis;    Charcot-Marie-Tooth;    poliomyelitis;    peripheral nerve injury;   

DOI  :  10.1177/2473011418789370

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Background:Stiff equinocavus deformities of the foot are challenging to treat, often requiring extensive soft tissue dissection and bone removal. These procedures frequently yield suboptimal results and not infrequently amputation. Minimally invasive surgery using a circular external fixator potentially avoids the trauma to the soft tissue and may lead to improvement in outcomes and a lower amputation rate. The objective of this study was to evaluate the efficacy of minimally invasive surgery using a circular external fixator and limited soft tissue release to correct stiff equinocavus deformities.Methods:The treatment outcome of 29 patients (31 feet) with stiff equinocavus deformities of the foot and ankle treated with minimally invasive surgery and circular external fixation were reviewed after a mean follow-up period of 63 months. Patients’ demographics and cause of the deformities were recorded. Weight bearing radiographs of the foot were compared pre and postoperatively.Results:Outcome was satisfacto...

【 授权许可】

CC BY