Surgical Treatment of the Older Age Children with Congenital Recurrent Clubfoot Using Method of Transosseous Osteosynthesis by Ilizarov

Abstract

Purpose of the study: In this study assessment of treatment results of old age children (13-18 years) with congenital recurrent clubfoot at the RISC’RTO’ by the method of transosseous osteosynthesis was done. Materials and methods: In our clinic from 2004 to 2016 65 children (77 feet) aged 13-18 (mean age was 14.6 years) with congenital recurrent clubfoot have been treated. All patients were treated by Ilizarov method. In this group of patients together with insertion of wires in the tibia and foot, appropriate Ilizarov frame assembly we used surgical interventions on soft tissues, osteotomies and stabilizing surgeries. Results: Long-term results (average 40 months follow-up) noted in 55 (84.6%) of patients by AOFAS (American Orthopedic Foot and Ankle Society) scale: In 67.3% of cases (37 patients) noted good treatment results, poor outcomes (26.3 ± 10.0 points according to AOFAS)-in 4 cases (7.3%). Conclusion: Application of the method of transosseous osteosynthesis by Ilizarov in management of children with congenital recurrent clubfoot allows us to achieve desired results and to reduce possibility of recurrent development of the segment deformity.