الفهرس | Only 14 pages are availabe for public view |
Abstract Meticulous clinical assessment of complex foot deformities patients is the key of success in treatment of such cases. Imaging studies of complex foot deformity patients( good quality plain X-rays, C.T scan and three dimensional C.T) have a great role in decision making in managing these deformities. Foot print has a good diagnostic value as well as a good follow-up tool to assess the degree of correction and improvement. Gradual correction of complex foot deformities by Ilizarov techniques are a successful methods in treatment of this difficult deformities. The two methods used in Ilizarov technique either soft tissue distraction without osteotomies or with osteotomies are effective when their indication is addressed. The Percutaneous calcaneal V osteotomy is particularly useful for complex foot deformities with poor skin coverage and poor blood supply. The age factor is not the only factor determine the success of soft tissue distraction by Ilizarov technique, The recurrence of the deformity after correction doesn’t depend only on the Ilizarov Techniques(soft tissue distraction or correction through osteotomy) . Many factors are responsible for success of treatment and the recurrence such as bone morphology, the number of pervious operations and the degree of stiffness of the foot prior to the operation. An intense rehabilitation program and physiotherapy are needed after correction of the complex foot deformities to allow the patient to return to normal daily activities. |