Strategies in Trauma and Limb Reconstruction

Register      Login

VOLUME 6 , ISSUE 3 ( November, 2011 ) > List of Articles

Original Article

Correction of poliomyelitis foot deformities with Ilizarov method

Alexander Kirienko, Andrea Peccati, Ibrahim Abdellatif, Yasser Elbatrawy, Zayed Mahmoud A. Mostaf, Valentina Necci

Keywords : External fixation, Foot deformities, Ilizarov, Poliomyelitis, Surgical techniques

Citation Information : Kirienko A, Peccati A, Abdellatif I, Elbatrawy Y, Mostaf ZM, Necci V. Correction of poliomyelitis foot deformities with Ilizarov method. 2011; 6 (3):107-120.

DOI: 10.1007/s11751-011-0111-6

License: CC BY-NC-SA 4.0

Published Online: 01-06-2012

Copyright Statement:  Copyright © 2011; The Author(s).


Abstract

Poliomyelitis is an infectious disease caused by a neurotrophic virus targeting anterior horn cells of lower motor neurons resulting in flaccid paralysis and represents a common condition in developing countries, and even nowadays, most of both treated and untreated cases result in foot deformities. Between 1994 and 2007, 27 patients were treated by classic ring Ilizarov fixator, aiming at producing a stable plantigrade and cosmetically acceptable foot and followed up for meanly 7.17 years. Additional procedures were performed if needed. The mean time in frame was 4.2 months. All the patients were satisfied with their gait, compared to preoperative status. A painless and plantigrade foot was obtained in all patients, and limb-length discrepancy was always corrected where present. No major complications were encountered. In conclusion, the Ilizarov method allows simultaneous progressive correction of all components of severe foot deformities associated with limb-lengthening discrepancy with minimal surgery, reducing risks of cutaneous or neurovascular complications and avoiding important shortening of the foot.


PDF Share
  1. Hecht A, Babcock H, Heymann D. (2009) Polio. Deadly diseases & epidemics. Piblisher: Chelsea House Publications: English:. Pub date: January 2009. 116 pages, pp 8-10
  2. Jordan L, Kligman M, Sculco TP (2007) Total knee arthroplasty in patients with poliomyelitis. J Arthroplast 22:543-548
  3. Alexander IJ, Johnson KA (1989) Assessment and management of pes cavus in Charcot-Marie-Tooth disease. Clin Orthop Relat Res 246:273-281
  4. Dravaric DM (1990) Cavus foot. In: Gould JS (ed) Operative foot surgery, 2nd edn. WB Sounders Co, Philadelphia, pp 1601-2182
  5. Tachdjian MO (1990) The neuromuscular system. In: Tachdjian MO (ed) Pediatric Orthopedics, 3rd edn. WB Saunders Co, Philadelphia, pp 1605-1770
  6. Evans D (1975) Calcaneovalgus deformity. J Bone Joint Surg Br 57:270-278
  7. Mann RA (1994) Charcot-Marie-Tooth disease. In: Gould JS (ed) Operative foot surgery, 6th edn. WB Saunders Co, Philadelphia, pp 177-193
  8. Wapner KL (1998) Triple arthrodesis in adult. J Am Acad Orthop Surg 6:188-196
  9. Bradish CF, Noor S (2000) The Ilizarov method in the management of relapsed club feet. J Bone Joint Surg Br 82:387-391
  10. Miller OL (2008) The 10th president of the AAOS 1941. The classic two hundred cases of paralytic foot stabilization after the method of hoke. Clin Orthop Relat Res 466:81-89
  11. Thompson DM, Calhoun JH (2000) Advanced techniques in foot and ankle reconstruction. Foot Ankle Clin 5:417-442
  12. Grant AD, Atar D, Lehman WB (1992) The Ilizarov technique in correction of complex foot deformities. Clin Orthop Relat Res 280:94-103
  13. Grant AD, Atar D, Lehman WB (1990) Ilizarov technique in correction of foot deformities: a preliminary report. Foot Ankle 11:1-5
  14. Ilizarov GA, Shevtsov VI, Kuz'min NV (1983) Method of treating talipes equinocavus. Ortop Travmatol Protez 5:46-48
  15. Shalaby H, Hefny H (2007) Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique. Strategies Trauma Limb Reconstr 2:21-30
  16. Koczewski P, Shadi M, Napiontek M (2002) Foot lengthening using the Ilizarov device: the transverse tarsal joint resection versus osteotomy. J Pediatr Orthop B 11:68-72
  17. Segev E, Ezra E, Yaniv M, Wientroub S, Hemo Y (2008) V osteotomy and Ilizarov technique for residual idiopathic or neurogenic clubfeet. J Orthop Surg (Hong Kong) 16:215-219
  18. Provelengios S, Papavasiliou KA, Kyrkos MJ, Kirkos JM, Kapetanos GA (2009) The role of pantalar arthrodesis in the treatment of paralytic foot deformities. A long-term follow-up study. S J Bone Joint Surg Am 91:575-583
  19. Huang SC (1997) Leg lengthening by the Ilizarov technique for patients with sequelae of poliomyelitis. J Formos Med Assoc 96:258-265
  20. Aldegheri R (1999) Distraction osteogenesis for lengthening of the tibia in patients who have limb length discrepancy or short stature. J Bone Joint Surg Am 81:624-633
  21. Eralp L, Kocaoglu M, Ozkan K, Turker M (2004) A comparison of two osteotomy techniques for tibial lengthening. Arch Orthop Trauma Surg 124:298-300
  22. Kristiansen LP, Steen H (2002) Reduced lengthening index by use of bifocal osteotomy in the tibia. Comparison of monofocal and bifocal procedures with the Ilizarov external fixator. Acta Orthop Scand 73:93-97
  23. Yasui N, Kawabata H, Kojimoto H, Ohno H, Matsuda S, Araki N, Shimomura Y, Ochi T (1997) Lengthening of the lower limbs in patients with achondroplasia and hypochondroplasia. Clin Orthop 344:298-306
  24. Noonan KJ, Leyes M, Forriol F, Canadell J (1998) Distraction osteogenesis of the lower extremity with use of monolateral external fixation. J Bone Joint Surg Am 80:793-806
  25. Eldridge JC, Bell DF (1991) Problems with substantial limb lengthening. Orthop Clin North Am 22:625-631
  26. Lehman WB, Grant AD, Atar D (1991) Preventing and overcoming equinus contractures during lengthening of the tibia. Orthop Clin North Am 22:633-641
  27. Song HR, Myrboh V, Oh CW, Lee ST, Lee SH (2005) Tibial lengthening and concomitant foot deformity correction in 14 patients with permanent deformity after poliomyelitis. Acta Orthop 76:261-269
  28. Kocaoğlu M, Eralp L, Atalar AC, Bilen FE (2002) Correction of complex foot deformities using the Ilizarov external fixator. J Foot Ankle Surg 41:30-39
  29. Paley D (1993) The correction of complex foot deformities using Ilizarov's distraction osteotomies. Clin Orthop 11:238-240
  30. El-Mowafi H (2004) Assessment of percutaneous V osteotomy of the calcaneus with Ilizarov application for correction of complex foot deformities H. Acta Orthop Belg 70:586-590
  31. Kucukkaya M, Kabrkcuoglu Y, Kuzgun U (2002) Management of the neuromuscular foot deformities with the Ilizarov method. Foot Ankle Int 23:135-141
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.