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International Orthopaedics

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18-07-2023 | External Fixator | Original Paper

Complex rigid foot deformity correction with hexapod external fixator system

Authors: Sancar Bakircioglu, Murat Danisman, Ozan Tuncay, Ulas Can Kolac, Muhammed Abdulkadir Bulut, Guney Yilmaz

Published in: International Orthopaedics | Issue 11/2023

Abstract

Purpose

Complex rigid foot deformities include three-plane deformities and usually presents with poor soft tissue coverage. In the last decades, gradual correction with computer-assisted fixator became an appropriate option for the treatment rigid foot deformities. This study aims to report our experience about treatment of complex foot deformities using Smart Correction fixator system®.

Methods

We retrospectively analyzed 13 complex rigid foot deformities of ten consecutive patients treated with Smart Correction fixator system® from 2016 to 2020. Primary outcomes were classified as good, fair, and poor according to previously determined criteria. The outcomes were also assessed with The Manchester-Oxford Foot Questionnaire (MOXFQ). Non-parametric analysis (Wilcoxon test) for continuous variables and the Fisher’s exact test for categorical variables were used.

Results

Plantigrade foot was achieved in all patients after correction program. Supramalleolar osteotomy was applied in nine feet, midfoot osteotomy was applied in two feet, hindfoot osteotomy was required in one foot, and only soft tissue distraction performed in two feet. Two patients had recurrent deformity managed by further acute corrections. The mean MOXFQ scores improved from 72.7 preoperatively to 24.8 at last follow-up.

Conclusions

Present study shows that SCF the reliable option for the treatment of complex foot deformities, which also facilitates three-plane correction and concomitant lengthening with gradual soft tissue balance.

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Title: Complex rigid foot deformity correction with hexapod external fixator system
Authors: Sancar Bakircioglu
Murat Danisman
Ozan Tuncay
Ulas Can Kolac
Muhammed Abdulkadir Bulut
Guney Yilmaz
Publication date: 18-07-2023
Publisher: Springer Berlin Heidelberg
Keyword: External Fixator
Published in: International Orthopaedics / Issue 11/2023
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-023-05897-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Complex rigid foot deformity correction with hexapod external fixator system

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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