By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Unearths complex equipment of correcting foot deformities utilizing the Ilizarov procedure. issues span ways to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Extra resources for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
Removal of the Apparatus Once overcorrection by 10–15 degrees has been achieved, the apparatus should remain in situ for 45 days. 15). 15 Shoe with modiﬁed sole to compensate for the hypercorrection of equinus. 46 Chapter 1 For adults, the locking nuts on the hinge joints on the two connective rods are ‘‘unlocked,’’ allowing the hinges to move and the patient to walk in the apparatus for 1 week before removal. When there is no tendency for recurrence and if active dorsiﬂexion is present, the apparatus can be removed.
17a–c). 5-cm chisel allows a single cut. 18a–c). After the osteotomy and assembling of the ﬁrst section of the apparatus, the foot is set into a position of maximal correction and this position is maintained intraoperatively by the application of a gauze tension bandage from the forefoot to the frame. Finally, the ﬁnal components of the frame are applied and the tension bandage is removed. 16 Wire ﬁxation into the talus. (a) Transverse section on the horizontal plane. (b) Lateral view. (c) Assembly of the talus wires with the distal leg support.
6a–c). The two sections of the apparatus are angled at the same degree as the equinus deformity. They are joined together by two hinges (one medial and one lateral), which are positioned exactly on the axis of ﬂexion-extension of the ankle. 7a and b). Precise positioning of the hinges prevents anterior subluxation of the talus during correction. The axis should be slightly distal to the transmalleolar axis to prevent posterior subluxation. The normal transmalleolar axis is 80 degrees in the coronal plane and 84 degrees in the sagittal plane.
Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities by Alexander Kirienko, Angelo Villa, Jason H. Calhoun
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