الفهرس | Only 14 pages are availabe for public view |
Abstract The foot is the weight bearing segment of the body, it plays, together with the ankle, the most vital role in the gait. Foot and ankle deformities are common problems in orthopedic surgery, these deformities occur with congenital conditions (such as clubfoot and congenital vertical talus), neurological lesions (such as poliomyelitis, cerebral palsy, meningeomyelocele and charcot‐Marie‐ Tooth disease), traumatic injuries, osteomyelitis, non‐unions or malunions, leg length discrepancy,burn and other soft tissue contractures. Foot and ankle deformities affect the gait and may cause compensatory changes in other joints leading to knee, hip and low back problems. Foot deformities intefere with shoe fitting and in neurological conditions may necessitate specially designed foot and ankle orthoses. The abnormal contact pressures cause skin problems ranging from callosities to skin ulcerations, which in turn can be complicated by infection and osteomyelitis. These problems add to the psychological distress experienced by these patients. The goal of treatment of foot and ankle deformities is obtaining stable, painless, plantigrade and cosmetically aligned foot that provides normal or near normal gait.Many conventional surgical procedures have been described for correction of these deformities depending on severity of the deformity, whether the deformity is flexible or rigid, age of the patient and presence of muscle paralysis or joint arthritis. These surgical procedures include soft tissue release with tendon lengthening, tendon transfer, osteotomies and arthrodesis. |