By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Unearths complex equipment of correcting foot deformities utilizing the Ilizarov procedure. themes span methods to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Additional info for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
11). Frequent radiographs (weekly or biweekly) will help to correct the ratio. 12a–c). The goal is to obtain an overcorrection of 25–30 degrees. 1. 9 (a) The distraction force is not tangent to point B. A parallelogram of the decomposure of forces produces F3. (b) F3 anteriorly subluxates the talus. (c) The traction force is not tangent to point D; therefore, a parallelogram of the decomposure of the force produces F3. (d) F3 anteriorly dislocates the talus. F1 ¼ force 1; F2 ¼ force 2; F3 ¼ force 3.
Correction of supination or pronation of the foot associated with equinus can also be achieved by medial or lateral lengthening of the osteotomy. The scythe-shaped osteotomy is theoretically promising but is a diﬃcult procedure to perform and can have signiﬁcant complications. The large size of the osteotomy may cause rapid consolidation due to the high friction during gliding of the bone fragments, which makes gradual correction diﬃcult. However, the scythe-shaped osteotomy can correct mild pronation or supination of the foot and maintain function of the tibio-talar joint, but it does not lengthen the foot as the V osteotomy does.
7 (a) Frontal view of the axis of the ankle joint. (b) Relationship of the ankle axis to the longitudinal axis of the foot. 8a and b). 9a–d). This subluxation, even if counteracted by correct positioning of the hinges, can occur if the apparatus deforms. This complication can be avoided by carefully positioning the hinges slightly inferior to the axis of the ankle (4–5 mm). 10a and b). The connection of the rods between the two sections must allow for adaptation to the various positions of the foot during correction and may need to be changed during correction.