Ilizarov reconstruction of chronic bilateral calcaneovalgus deform让ies  

作　　者：Ming Chun Chan Suheal A. Khan 

机构地区：[1]Ministry of Health Holdings, Singapore [2]Limb Reconstruction Unit, Khoo Teck Puat Hospital, Singapore

出　　处：《Chinese Journal of Traumatology》2019年第4期202-206,共5页中华创伤杂志（英文版）

摘　　要：Calcaneovalgus foot deformities are present in up to 35% of patients with lumbar spina bifida. Resultant heel weight bearing causes complications include those associated w让h pressure ulcers. Early surgical reconstruction is advocated to prevent deformity progression and rigidity. Several surgical techniques in paediatric populations have been described, but there remains a paucity of literature regarding reconstruction of chronic calcaneovalgus feet in adults. This case report describes our experience using the Ilizarov technique in the reconstruction of an adult presenting with chro nic calcaneovalgus feet. This is a 34-year-old lady with myelomeningocoele spina bifida of lumbar level 5 who presented with a history of multiple admissions for cellulitis and infections of bilateral heel pressure sores. Rigid calcaneovalgus deformities of both feet (45° on the right, 40° on the left) were noted on clinical examination and radiological investigations. Reconstruction with an Ilizarov frame allowed for gradual correction of both soft tissue and bone, correcting heel weight bearing ambulation, with the aim of preventing further complications from infected heel ulcers. While the correction of bony deformities is crucial, management of chronically contracted soft tissue must not be overlooked. An Ilizarov frame requires both an experienced surgeon and a motivated patient, but it allows for accurate reconstruction of bony deferm让ies, while allowing management of surrounding chronic soft tissue contractures with good functional outcome.

关 键 词：ILIZAROV technique CALCANEUS Foot DEFORMITIES CONTRACTURE MENINGOMYELOCELE 

分 类 号：R687.3[医药卫生—骨科学]