Fig. 1
(a, b) Clinical appearance of a 17 year old with an untreated congenital clubfoot deformity. These photographs were taken under general anesthesia. This was the maximum passive correction that could be obtained
Fig. 2
(a, b) Simulated weight-bearing radiographs
3 Preoperative Problem List
1.
Untreated adult with rigid static talipes equinovarus. This young man has both equinus and varus deformity.
2.
It is impossible to determine the contribution from static contracture and the contribution from bony deformity.
4 Treatment Strategy
1.
The first step in treatment was to surgically perform a percutaneous tendon Achilles lengthening by triple hemisection.
2.
A Taylor Spatial Frame (Smith-Nephew, Memphis, TN, USA) was applied with a miter frame construct (Fig. 5). Maximum passive correction was obtained at the time of application.
3.
The plan was to proceed with gradual correction using the method of Ponseti. The first step was to correct the varus component of the deformity.
4.
The equinus component of the deformity was then sequentially corrected.
5.
8: Femoral Bone Defect
11: Bone Transport Over a Nail for Infected Tibial Nonunion and Bone Defect
30: C3.3 Pilon Fracture Closed. Ilizarov Fixation with Limited Open Reduction of Joint Surface and Distal Tibia Bridging Distraction of Ankle Joint
78: Two-Stage Treatment of a Chronic Foot Dislocation
84: Lapidus Fusion with External Fixation
65: Closed Correction of Club Foot with Ilizarov
Related posts:
8: Femoral Bone Defect
11: Bone Transport Over a Nail for Infected Tibial Nonunion and Bone Defect
30: C3.3 Pilon Fracture Closed. Ilizarov Fixation with Limited Open Reduction of Joint Surface and Distal Tibia Bridging Distraction of Ankle Joint
78: Two-Stage Treatment of a Chronic Foot Dislocation
84: Lapidus Fusion with External Fixation
65: Closed Correction of Club Foot with Ilizarov
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