Abstract
The Surgery of resistant and relapsed club foot is always a great problem even for an experienced Orthopaedic Surgeon. Surgery on the bones in younger patient is contraindicated. The principle of differential fractional distraction technique invented by Prof. Joshi of Bombay is well accepted in many Countries. His technique using the JESS system (Joshi’s External Skeletal System) is used extensively for resistant and relapsed Club feet. In our Institute during this decade 57 feet in 45 children in the age group of one to five years were corrected using the above mentioned technique. Results were assessed as per SIMMON’S CRITERIA. 47 out of the 57 feet showed satisfactory results. Recurrence of the deformity observed in 10 feet. This study details the methodology of distraction, merits and pitfalls of the procedure.
The abstracts were prepared by Professor Jegan Krishnan. Correspondence should be addressed to him at the Flinders Medical Centre, Bedford Park 5047, Australia.
