club foot with ilizarov

CLUB FOOT WITH ILIZAROV

DEFINITIONCONGENITAL CLUB FOOT IS A COMPLEX DEFORMITIES OF THE ANKLE AND FOOT THAT INCLUDES FORE FOOT ADDUCTION, MID FOOT SUPINATION, HIND FOOT VARUS AND EQUINUS.

COMMON POSITIONS

• TALIPUS VARUS• TALIPUS VALGUS• TALIPUS EQUINUS• TALIPUS CALCANIUS

CAUSES• UNKNOWN • GENETIC FACTOR• ABNORMAL TENDON INSERTION• OLIGOHYDROMNIAS• DEVELOPMENTAL ARREST OF FETAL

DEVELOPMENT• DIMINISHED VASCULAR

CIRCULATION

PATHOPHYSIOLOGYA STRONG FAMILIAR TENDENCY WITH ONE TO TEN

CHANCE THAT A PARENT WITH CLUB FOOT WILL HAVE A AFFECTED CHILD

DISTAL LIMB AMNIOTIC BINDING

AMNION FORMS CONSTRICTIVE BONDS AROUND LIMBS IN UTERO

CUTS OF CIRCULATION TO THE LIMBS

ABNORMAL OR ARRESTED DEVELOPMENT.

DIAGNOSTIC EVALUATION

• PHYSICAL EXAMINATION• RADIOGRAPHY• X-RAY

MANAGEMENT

• CORRECTION OF DEFORMITY•MAINTENANCE OF

CORRECTION UNTIL NORMAL MUSCLE BALANCE IS REGAINED• ILIZAROV MANAGEMENT

POST-OPERATIVELY:• PATIENT SHOULD REMAIN IN THE HOSPITAL

FOR 3-7 DAYS.• A COMPLETE PROCEDURE MAY REQUIRE

LONGER INSTAY IN HOSPITAL.• STRAIGHTENING OF THE LIMB BEGINS FROM

1-2 WEEKS AFTER SURGERY.• LATENT PHASE• DISTRACTION PHASE• CONSOLIDATIOPN PHASE

COMPLICATION• INFECTION• DVT• BLOOD VESSEL INJURY• NON-UNION, MALUNION• JOINT CONTRACTURE• SCARING

PRE OPERATIVE DIAGNOSIS

• IMPAIRED PHYSICAL MOBILITY RELATED TO CONGENITAL DEFORMITY AS MANIFESTED BY LIMPINS WHILE WALKING

• BODY IMAGE DISTURBANCE RELATED TO CONGENITAL CLUB FOOT AS EVIDENCED BY HIS VERBALIZATION

POST OPERATIVE • ACUTE PAIN RELATED TO SURGICAL INCISION

AND REFLEX MUSCLE SPASM AS MANNIFESTED BY COMPLAINTS OF PAIN

• ACTIVITY INTOLERNCE RELATED TO GENERALIZED WEAKNESS AS EVIDENCED BY ENDURE ACTIVITIES

• POTENTIAL FOR HEMORRHAGE RELATED TO INEFFECTIVE VASCULAR CLOSUR

ANY QUESTIONS

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