By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Unearths complex equipment of correcting foot deformities utilizing the Ilizarov process. 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 resources for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
4a and b). 5a and b). 5b). 6a–c). Placement of the wires will depend on the type of stability that is needed. The ﬁrst wire is positioned at the base of the metatarsals with the olive on the base of the ﬁfth metatarsal. 3 Attachment points of the support are the medial and distal thirds of the leg, respectively. Note the olive, which is positioned laterally in the supramalleolar region for protection of the syndesmosis. 4 Horseshoe-shaped foot support with anterior junctions. (a) With support posts and threaded rods is possible to control wire tension by distancing the support posts.
6a–c). The two sections of the apparatus are angled at the same degree as the equinus deformity. They are joined together by two hinges (one medial and one lateral), which are positioned exactly on the axis of ﬂexion-extension of the ankle. 7a and b). Precise positioning of the hinges prevents anterior subluxation of the talus during correction. The axis should be slightly distal to the transmalleolar axis to prevent posterior subluxation. The normal transmalleolar axis is 80 degrees in the coronal plane and 84 degrees in the sagittal plane.
Calcaneus distraction requires only proximal hinges without distal hinges to allow posterior translation of the calcaneus pin as the calcaneus moves plantarward. Metatarsal dorsiﬂexion requires hinges on the metatarsal ring and a rotating post at the tibial ring to allow the metatarsal pin to translate anteriorly as the deformity is corrected. The ankle joint must be distracted before deformity correction and is performed at the time of frame placement. In a simple equinus correction, the ankle should be distracted 2 to 5 mm compared with preoperative radiographs.