A COMPARATIVE STUDY BETWEEN ILIZAROV RING FIXATOR AND JESS IN NEGLECTED/ RELAPSED CTEV

Abstract

Background: Idiopathic clubfoot is one of the oldest and commonest congenital deformities of mankind, ever since man has adopted the erect posture. Franke (1987-90) used Ilizarov ring xator to correct all components of clubfoot. On the basis of similar principles, Joshi et al devised a simple external xator (Joshi's External Stabilization System- JESS). A total of 21 patients with 28 affected feet who met t Materials and Methods: he inclusion criteria were included in the study and divided into 2 groups; one group of 15 feet treated by Ilizarov xator and other group of 13 feet treated by JESS. All the cases were assessed pre operatively and post operatively clinically using Dimeglio classication scoring system and radiologically using angles and indices. This study included patients of Results and Conclusion: age 3 to 12 years with majority below 8 years. Clinical assessment using Dimeglio scoring system showed improvement in score post operatively in both the groups. In our study, 15 feet were treated by Ilizarov in which 4 feet (27%) had excellent results, 6 (40%) were good, 2 (13%) were fair and 3 (20%) were poor results and 13 feet were treated by JESS in which 2 (15%) had excellent results, 3 (23%) were good, 3 (23%) were fair and 5 (39%) were poor results. In our study, results are better in ilizarov as compared to JESS