Recherche clinique sur le pied et la cheville

Abstrait

Ankle-foot abnormalities treated with the Ilizarov technique

Vamshi K

Ankle-foot abnormalities brought on by neurological illnesses or traumas can have a significant negative impact on patients' quality of life. The purpose of this study was to determine whether the Ilizarov procedure might be used to treat complex ankle-foot deformities associated with neurotrophic diseases. In this retrospective analysis, 10 patients were treated from January 2014 to May 2019 for complicated ankle-foot abnormalities with nerve injury—6 men and 4 women. Patients' ages ranged from 13 to 57, with an average age of 27.9. Spina bifida sequelae in five patients, post-traumatic injury to the common peroneal nerve and tibial nerve in four patients, and subacute spinal cord degeneration in one patient were the causes of nerve injury. Osteotomy, muscle strength balance, and external ring frame fixation were performed using minimally invasive surgery, and numerous abnormalities were gradually repaired as a result of the procedure. The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score was used to assess the ankle-foot function prior to surgery. With the Ilizarov technique, minimally invasive osteotomy, and muscle strength balancing, complex ankle-foot deformities caused by neurotrophic diseases might be safely corrected.