Ilizarov technique combined with limited surgery for correction of spastic clubfoot in adolescents with cerebral palsy
10.7507/1002-1892.201710045
- Author:
Chunzhi GAO
1
Author Information
1. Department of Orthopedics, First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan
- Publication Type:Journal Article
- Keywords:
adolescent;
cerebral palsy;
clubfoot;
Ilizarov technique
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2018;32(2):182-186
- CountryChina
- Language:Chinese
-
Abstract:
Results: All 29 patients (33 feet) were followed up 12-22 months with an average of 18 months. All patients restored line plantar foot without needle infection and nerve or vessel injury. One foot had a mild relapse of deformity at 6 months after removal of external fixator, and the gait restored to normal after symptomatic treatment. The rest of 32 feet had no deformity recurrence during the follow-up. At last follow-up, International Club Foot Study Group (ICFSG) score (5.21±3.91) was significantly lower than the preoperative score (36.73±4.80), and the difference was significant ( t=47.227, P=0.000). The results were excellent in 27 feet, good in 3 feet, and fair in 3 feet, and the excellent and good rate was 90.91%. The patients were very satisfied in 27 feet and satisfied in 6 feet by self-evaluation of effectiveness.
