By Alexander Kirienko, Angelo Villa, Jason H. Calhoun
Finds complicated equipment of correcting foot deformities utilizing the Ilizarov process. issues span ways to the equines foot, hindfoot deformities, adduction, the cavus foot, artrorsi, arthrodesis, multi-component foot deformities, and extra.
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Extra resources for Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities
Anatomical Fixation Points for Transosseous Wires A. Tibia Wire ﬁxation points in the tibia are the medial third, medial third– distal third, and supramalleolar or tibial pilon areas. 1. Medial Third Two crossed wires are inserted from the lateral side. The transﬁbular-tibial wire is directed from posterior-lateral to anterior-medial. 10). The second wire takes an anterior-lateral to posterior-medial direction. 10 Transverse anatomical section of the medial third of the leg showing the angle and direction of the two transosseous wires.
17). 20). It is diﬃcult to penetrate all the metatarsals in the medial diaphysis and the distal metaphysis because of their arched conﬁguration. Wire introduction is from lateral to medial, angled from inferior to superior, and from posterior to anterior, but vice versa for wires introduced in a medial to lateral direction. 16 Transverse section of the midfoot at the navicular and cuboid level. Wire 1 is in the navicular bone approximately parallel to the sole of the foot in a lateral to medial direction and perpendicular to the longitudinal axis.
1). Radiographically, this is done with a weight-bearing lateral radiograph, in which the patient stands with the knee straight on a radiopaque surface. If the patient cannot stand, then, with the patient supine, the knee is straightened and the sole of the foot is supported with a radiopaque surface and a lateral radiograph is taken. Equinus is the amount of uncorrectable plantar ﬂexion from neutral (tibio-sole angle more than 90 degrees). It is graded as mild (<20 degrees from neutral), moderate (20–40 degrees from neutral), or severe (>40 degrees from neutral) (2).
Alexander Kirienko Ilizarov Technique for Complex Foot and Ankle Deformities by Alexander Kirienko, Angelo Villa, Jason H. Calhoun