By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Finds complicated equipment of correcting foot deformities utilizing the Ilizarov strategy. issues span techniques to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Additional resources for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
Order to follow the alignment of the metatarsals. The second wire is inserted into the base of the metatarsals, with the medial olive on the ﬁrst metatarsal, from medial to lateral, in a slightly oblique direction from anterior to posterior, and from superior to inferior. 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.
The Hoke technique involves multiple medial and lateral partial tendon percutaneous incisions and gentle, controlled, forced dorsiﬂexion with 6 weeks of casting. Most severe and noncorrectable moderate equinus will respond to the closed or open Ilizarov technique. A closed Ilizarov technique is used in either children or adults if there are acceptable articular surfaces, joints, and bones. The open Ilizarov technique uses osteotomies for correction if minimal articular surface and signiﬁcant bone deformities are present.
This osteotomy is appropriate for the same clinical indications that the V osteotomy is, but it avoids excessive lengthening of the foot. Moreover, healing time is shorter because less bony regeneration is required. 3. Midfoot Osteotomies a. Navicular-Cuboid Osteotomy and the Cuboid-Cuneiform Osteotomy These osteotomies are rectilinear. 9a and b). 8 Y osteotomy. Indications are the same as those for the V osteotomy; however, the Y osteotomy avoids excessive lengthening of the foot. (Left) The bone cuts.
Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities by Alexander Kirienko, Angelo Villa, Jason H. Calhoun