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Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique

Complex foot deformity is a multiplanar deformity with or without foot shortening. It also includes deformed feet with poor soft-tissue coverage, relapsed or neglected cases, and those with acompanying problems such as leg-length discrepancy, lower leg deformity, osteomyelitis and nonunions. Traditi...

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Detalles Bibliográficos
Autores principales: Shalaby, H., Hefny, H.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2321725/
https://www.ncbi.nlm.nih.gov/pubmed/18427911
http://dx.doi.org/10.1007/s11751-007-0015-7
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author Shalaby, H.
Hefny, H.
author_facet Shalaby, H.
Hefny, H.
author_sort Shalaby, H.
collection PubMed
description Complex foot deformity is a multiplanar deformity with or without foot shortening. It also includes deformed feet with poor soft-tissue coverage, relapsed or neglected cases, and those with acompanying problems such as leg-length discrepancy, lower leg deformity, osteomyelitis and nonunions. Traditionally, correction of these deformities can be achieved by extensive soft tissue releases, osteotomies or arthrodesis with or without internal fixation. This usually involves excision of large appropriate bony wedges and has many disadvantages, including neurovascular injury, soft tissue problems and a shortened foot. We present our experience with a group of severe deformities of the foot that we managed using the V-osteotomy combined with the Ilizarov technique. We present our algorithm of management of complex foot and ankle deformities, together with our prerequisites for patient selection. A detailed description of the operative technique, postoperative care and possible complications is also presented. The combination of the Ilizarov technique and the V-osteotomy offers versatility in foot deformity correction, enabling correction of individual components of the deformity at rates that may be tailored to achieve accurate three-dimensional control.
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spelling pubmed-23217252008-04-17 Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique Shalaby, H. Hefny, H. Strategies Trauma Limb Reconstr Review Complex foot deformity is a multiplanar deformity with or without foot shortening. It also includes deformed feet with poor soft-tissue coverage, relapsed or neglected cases, and those with acompanying problems such as leg-length discrepancy, lower leg deformity, osteomyelitis and nonunions. Traditionally, correction of these deformities can be achieved by extensive soft tissue releases, osteotomies or arthrodesis with or without internal fixation. This usually involves excision of large appropriate bony wedges and has many disadvantages, including neurovascular injury, soft tissue problems and a shortened foot. We present our experience with a group of severe deformities of the foot that we managed using the V-osteotomy combined with the Ilizarov technique. We present our algorithm of management of complex foot and ankle deformities, together with our prerequisites for patient selection. A detailed description of the operative technique, postoperative care and possible complications is also presented. The combination of the Ilizarov technique and the V-osteotomy offers versatility in foot deformity correction, enabling correction of individual components of the deformity at rates that may be tailored to achieve accurate three-dimensional control. Springer-Verlag 2007-04 /pmc/articles/PMC2321725/ /pubmed/18427911 http://dx.doi.org/10.1007/s11751-007-0015-7 Text en © Springer-Verlag Italia 2007
spellingShingle Review
Shalaby, H.
Hefny, H.
Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title_full Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title_fullStr Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title_full_unstemmed Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title_short Correction of complex foot deformities using the V-osteotomy and the Ilizarov technique
title_sort correction of complex foot deformities using the v-osteotomy and the ilizarov technique
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2321725/
https://www.ncbi.nlm.nih.gov/pubmed/18427911
http://dx.doi.org/10.1007/s11751-007-0015-7
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