Correction of neuromuscular foot deformity by a circular frame
Background Neuropathic deformities impair foot and ankle joint mobility, often leading to abnormal stresses and impact forces. Neuropathic foot deformities present a formidable challenge to orthopedic, pediatric, and rehabilitation specialists since these deformities are multiplanar, insidious in on...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Al-Azhar Assiut Medical Journal |
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| Online Access: | http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2019;volume=17;issue=4;spage=372;epage=377;aulast=A-Abuomira |
| _version_ | 1818955887011692544 |
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| author | Ibrahim Elsayed A-Abuomira |
| author_facet | Ibrahim Elsayed A-Abuomira |
| author_sort | Ibrahim Elsayed A-Abuomira |
| collection | DOAJ |
| description | Background Neuropathic deformities impair foot and ankle joint mobility, often leading to abnormal stresses and impact forces. Neuropathic foot deformities present a formidable challenge to orthopedic, pediatric, and rehabilitation specialists since these deformities are multiplanar, insidious in onset, and most difficult to attribute to and recognize an incipient cause.
Aim The aim of our study was to determine the use of a circular frame in the correction of neuromuscular foot deformity. The aim of surgical treatment is to achieve painless foot and stable plantigrade. The use of a circular frame, with or without gradual correction, may allow the patient to be more functional during the period of healing because a circular frame will typically allow partial to full weight bearing during the period of recovery.
Patients and methods In this study, 18 feet and ankle deformities in 13 patients were operated upon using the Ilizarov technique and fixator during the period from January 2013 to April 2018.
Results The aim of surgery in neuropathic foot is to achieve functional improvements and not just a cosmetically normal limb. Compared with the preoperative status, all patients were satisfied with their gait. The correction period ranged from 2 to 3.5 months.
Conclusion We have treated 13 patients affected by neuropathic foot deformities caused by poliomyelitis, meningocele, Charcot–Marie–Tooth syndrome, and post compartmental. Correction of foot deformities and leg-length discrepancy was performed by the Ilizarov method to obtain stable plantigrade and enable wearing of a normal shoe. Multiple surgical techniques were used (closed method, arthrodesis, open method with osteotomy, leg or tendoachilles’ lengthening) in most of the patients, with few complications. |
| first_indexed | 2024-12-20T10:45:12Z |
| format | Article |
| id | doaj.art-f354437147044a609721e3c6cb312953 |
| institution | Directory Open Access Journal |
| issn | 1687-1693 |
| language | English |
| last_indexed | 2024-12-20T10:45:12Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Al-Azhar Assiut Medical Journal |
| spelling | doaj.art-f354437147044a609721e3c6cb3129532022-12-21T19:43:25ZengWolters Kluwer Medknow PublicationsAl-Azhar Assiut Medical Journal1687-16932019-01-0117437237710.4103/AZMJ.AZMJ_100_19Correction of neuromuscular foot deformity by a circular frameIbrahim Elsayed A-AbuomiraBackground Neuropathic deformities impair foot and ankle joint mobility, often leading to abnormal stresses and impact forces. Neuropathic foot deformities present a formidable challenge to orthopedic, pediatric, and rehabilitation specialists since these deformities are multiplanar, insidious in onset, and most difficult to attribute to and recognize an incipient cause. Aim The aim of our study was to determine the use of a circular frame in the correction of neuromuscular foot deformity. The aim of surgical treatment is to achieve painless foot and stable plantigrade. The use of a circular frame, with or without gradual correction, may allow the patient to be more functional during the period of healing because a circular frame will typically allow partial to full weight bearing during the period of recovery. Patients and methods In this study, 18 feet and ankle deformities in 13 patients were operated upon using the Ilizarov technique and fixator during the period from January 2013 to April 2018. Results The aim of surgery in neuropathic foot is to achieve functional improvements and not just a cosmetically normal limb. Compared with the preoperative status, all patients were satisfied with their gait. The correction period ranged from 2 to 3.5 months. Conclusion We have treated 13 patients affected by neuropathic foot deformities caused by poliomyelitis, meningocele, Charcot–Marie–Tooth syndrome, and post compartmental. Correction of foot deformities and leg-length discrepancy was performed by the Ilizarov method to obtain stable plantigrade and enable wearing of a normal shoe. Multiple surgical techniques were used (closed method, arthrodesis, open method with osteotomy, leg or tendoachilles’ lengthening) in most of the patients, with few complications.http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2019;volume=17;issue=4;spage=372;epage=377;aulast=A-Abuomiracharcot–marie–tooth syndromecircular frameneuromuscular foot deformity |
| spellingShingle | Ibrahim Elsayed A-Abuomira Correction of neuromuscular foot deformity by a circular frame Al-Azhar Assiut Medical Journal charcot–marie–tooth syndrome circular frame neuromuscular foot deformity |
| title | Correction of neuromuscular foot deformity by a circular frame |
| title_full | Correction of neuromuscular foot deformity by a circular frame |
| title_fullStr | Correction of neuromuscular foot deformity by a circular frame |
| title_full_unstemmed | Correction of neuromuscular foot deformity by a circular frame |
| title_short | Correction of neuromuscular foot deformity by a circular frame |
| title_sort | correction of neuromuscular foot deformity by a circular frame |
| topic | charcot–marie–tooth syndrome circular frame neuromuscular foot deformity |
| url | http://www.azmj.eg.net/article.asp?issn=1687-1693;year=2019;volume=17;issue=4;spage=372;epage=377;aulast=A-Abuomira |
| work_keys_str_mv | AT ibrahimelsayedaabuomira correctionofneuromuscularfootdeformitybyacircularframe |