Ваш регион

Москва

Wheeless' Textbook of Orthopaedics

Wheeless' Textbook of Orthopaedics

C.R. Wheeless MD

URL
Wheeless' Textbook of Orthopaedics


The correction of complex foot deformities using Ilizarov's distraction osteotomies.

Paley D.

Clinical Orthopaedics & Related Research. (293):97-111, 1993 Aug.

Twenty-five very complex foot deformities were treated by Ilizarov

distraction osteotomies. The osteotomy types included supramalleolar, U,

V, posterior calcaneal, talocalcaneal neck, midfoot, and metatarsal

osteotomies. In addition, the leg was lengthened and widened in most

cases. The mean treatment time was 6.4 months. There were 20 minor or

major complications related to the foot osteotomies in 18 feet, including

deep pin-tract infection in three, failure of osteotomy separation in

nine, acute postoperative tarsal tunnel syndrome in two, toe contractures

in three, wire breakage or cutout in two, and buckle fracture in one.

Nineteen secondary procedures were required in 13 patients to treat these

complications. The final result was a plantigrade foot in 22 in late

follow-up evaluation. The three nonplantigrade feet were attributable to

unrecognized heel varus in one, ball and socket ankle joint in one, and

partial growth arrest progressive deformity in one. Gait was improved in

all cases. Pain was eliminated in all but two patients. Based on these

criteria, the results were judged to be satisfactory in 22 and

unsatisfactory in three. The Ilizarov method can successfully correct

complex foot deformities despite complications.



The correction of complex foot deformities using Ilizarov's distraction osteotomies.

Paley D.

Clinical Orthopaedics & Related Research. (293):97-111, 1993 Aug.

Twenty-five very complex foot deformities were treated by Ilizarov

distraction osteotomies. The osteotomy types included supramalleolar, U,

V, posterior calcaneal, talocalcaneal neck, midfoot, and metatarsal

osteotomies. In addition, the leg was lengthened and widened in most

cases. The mean treatment time was 6.4 months. There were 20 minor or

major complications related to the foot osteotomies in 18 feet, including

deep pin-tract infection in three, failure of osteotomy separation in

nine, acute postoperative tarsal tunnel syndrome in two, toe contractures

in three, wire breakage or cutout in two, and buckle fracture in one.

Nineteen secondary procedures were required in 13 patients to treat these

complications. The final result was a plantigrade foot in 22 in late

follow-up evaluation. The three nonplantigrade feet were attributable to

unrecognized heel varus in one, ball and socket ankle joint in one, and

partial growth arrest progressive deformity in one. Gait was improved in

all cases. Pain was eliminated in all but two patients. Based on these

criteria, the results were judged to be satisfactory in 22 and

unsatisfactory in three. The Ilizarov method can successfully correct

complex foot deformities despite complications.

 
 
 
Задать вопрос
Самое популярное

Когда и как потерять девственность

Девственность и куриное яйцо. Какая между ними связь? А такая, что жители племени куаньяма, что живет на границе с Намибией, в древности лишали девочек девственности при помощи куриного яйца. Ненамно

Всё о температуре тела

Температура тела - комплексный показатель теплового состояния организма человека, отражающий сложные отношения между теплопродукцией (выработкой тепла) различных органов и тканей и теплообменом между

10 способов сбросить 5 кг

Небольшие изменения в питании и образе жизни помогут изменить ваш вес. Хотите сбросить лишние килограммы? Не переживайте, вам не придется морить себя голодом или делать изнурительные упражнения. Иссл

О насНаши клиентыРеклама медицинских центровМаркетинг для салонов красоты и SPA
Рейтинг Nedug.Ru - клиники Москвы, клиники Петербурга
© 2000-2016 Nedug.Ru. Информация на этом сайте не призвана заменить профессиональное медицинское обслуживание, консультации и диагностику. Если вы обнаружили у себя симптомы болезни или плохо себя чувствуете, то необходимо обратиться к врачу для получения дополнительных рекомендаций и лечения. Все замечания, пожелания и предложения присылайте на [email protected]