O3402 RECURRENT CLUBFEET IN SYNDROMES. THE USE OF ILIZAROV FRAMES WITH TALECTOMY- A REVIEW OF 8 CASES (10 FEET) – 7.25 YEARS FOLLOW UP

Abstract

Aims: To assess the long term results of correction of recalcitrant club feet in syndromes such as Arthrogryposis and Spina Biþda after combining talectomy with the application of Ilizarov frame. Methods: 8 patients (10feet) with syndromes including Arthrogryposis, Spina Biþda and Diastrophic Dysplasia were followed up at 7.25 years (1 Ð 10) years following application of Ilizarov frame. The mean age was 19.5 (10– 29) years at follow up and there were equal number of males and females. These patients presented with recurrent and resistant clubfeet with 3.8 (1–6) procedures per foot, done prior to Ilizarov frame application. Talectomy was done before frame application in 5 feet, simultaneously in 4 feet and following frame in 1 foot. All 10 feet were talipes Equinovarus. Results: 8 excellent, 1 good and 1 fair result. All patients are now pain free, none require more than daytime AFO splints (with a much improved tolerance), none have major skin problems, All patients/parents described their feet as Ôfar betterñ or Ôbetterñ and would readily submit to the same procedure again if necessary. Conclusion: In properly selected complex cases with syndromes, talectomy combined with frame can produce more excellent and good results with long lasting correction.