By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Unearths complex equipment of correcting foot deformities utilizing the Ilizarov strategy. themes span methods to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Additional info for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
Flexible Hybrid Frame Technique* A hybrid, more ﬂexible frame uses the same principles as outlined above, but uses less hardware. The ﬂexible frame can be used for simple, unidirectional deformities and when bony deformities are not present. This frame consists of a tibial ring, a calcaneal half *Section modified from Thompson D, Calhoun JH. Advanced techniques in foot and ankle reconstruction. Foot and Ankle Clinics 1998; 5(2):412–442. 14). The tibial ring is positioned approximately at the junction of the middle and distal thirds of the leg.
17 Transverse section of the foot at the cuboid-cuneiform level. Wire 1 is introduced in a lateral to medial direction. Wire 2 is angled in slight obliquity from inferior to superior. No areas to avoid during wire placement. 18 Transverse section at the metatarsal base. No areas to avoid during wire placment. Direction is lateral to medial, from inferior to superior, and from posterior to anterior. 19 Transverse section at the medial diaphyseal level of the metatarsals. 18 with no areas to avoid during wire placement.
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. (Right) After correction, showing the calcaneus height increased and the midfoot and forefoot moved anteriorly and dorsally. 9 (a) Osteotomy of the cuboid and navicular bones, which corrects the cavus foot. (Left) The bone cut.