TOTBİD Dergisi

TOTBİD Dergisi

2015, Cilt 14, Sayı, 3     (Sayfalar: 235-241)

Congenital clubfoot: correction with external fixators

İlker Sarıkaya 1, Mehmet Ali Talmaç 2, Muharrem İnan 3

1 Çocuk Ortopedi Kliniği, Şişli, İstanbul
2 Şişli Etfal Eğitim ve Araştırma Hastanesi, Hamidiye, İstanbul
3 İstanbul Üniversitesi Cerahpaşa Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul

DOI: 10.14292/totbid.dergisi.2015.39
Görüntüleme: 66
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İndirme : 41

The aim of the treatment of congenital clubfoot is to obtain a foot which is fully corrected, plantigrade, mobile and painless. Because conventional methods require repeated extensile soft tissue surgeries and osteotomies, have high recurrence rates, and it is not too easy to obtain these conditions for every case, gradual distraction and correction with external fixator is presented as an alternative treatment method. One of the advantages of this method is that it allows the correction of the deformity in multiple planes. Also, this method is minimal invasive, can combine with osteotomies and soft tissue surgeries, preserve foot size, and allows early weight bearing. The difficulties and complications of treatment are: prolonged treatment period, pin tract infection, pain caused by distraction and joint motion restriction.

Anahtar Kelimeler : clubfoot; congenital defects; external fixators, circular; distraction, gradual; necrosis, skin