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EDUCATIONAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 1  |  Page : 42-53

Use of Ilizarov methodology for complex foot and ankle problems: A personal experience


Department of Orthopaedics and Traumatology, Garcia de Orta Hospital, Almada, Portugal

Correspondence Address:
Nuno Lopes
Department of Orthopaedics and Traumatology, Garcia de Orta Hospital, 2800, Almada
Portugal
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-3719.168748

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Complex foot deformity correction with conventional techniques has many limitations including neurovascular problems, skin problems, stiffness, and limb shortening. Ilizarov methodology on the contrary is not limited by deformity magnitude and permits a comprehensive approach to foot deformity correction treating all deformities simultaneously, either in foot or leg, combining techniques of soft tissue distraction, bone lengthening, and arthrodesis. Nevertheless, Ilizarov methodology is not exempted from problems and difficulties. It is a technically demanding procedure with a long learning curve. For the patient, treatment time is long, the frame is uncomfortable, pin infection is frequent, and other complication rates are also high. However, if proper technique is used including preoperative planning, preconstruction of the frame, careful ambulatory handling, and this method can be useful in the management of difficult cases and in certain circumstances, the sole method to correct complex foot deformities.


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