Slow, gradual external fixator distraction in acquired ankle and foot contracture.
| Autor: | Adiela VU; Orthopaedic Unit, Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria., Ekere AU, Yellowe BE, Echem RC, Omodu O |
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| Jazyk: | angličtina |
| Zdroj: | Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria [Niger J Med] 2006 Oct-Dec; Vol. 15 (4), pp. 432-6. |
| DOI: | 10.4314/njm.v15i4.37264 |
| Abstrakt: | Background: External fixators have been noted to have a place in the orthopaedic management of problems involving the ankle and foot. We here report a case of ankle and foot contracture managed by soft tissue release and slow, gradual external fixator distraction. Method: A case report of a patient with acquired ankle and foot contracture and discussion of relevant literature. Results: A 9-year old female presented to our out-patient clinic with features of right ankle and foot contracture following treatment by traditional bone setters 6 years earlier. The contracture was fixed at 30 degrees. She had soft tissue release and slow, gradual external fixator distraction which corrected the foot to a plantigrade position. Subsequently she had skin grafting for the skin defect. After removal of the external fixator she was placed on a below knee cast and commenced weight bearing. The cast was removed after three weeks and the patient has continued to bear weight on a plantigrade foot. Conclusion: External fixators have a definite place in contracture release and should be widely utilized. |
| Databáze: | MEDLINE |
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