PEVA treatment by placing Ilizarov type external  fixator in patients over 7 years old

Miguel Olalde Hernández; Miguel Ángel Olalde M; Silvia Hernández Capi; Gonzalo Vega Sandoval; Josué Alan Arroyo Vázquez; Andrés Antonio Moreno Suárez

2015, Number 1

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Rev Mex Ortop Ped 2015; 17 (1)

PEVA treatment by placing Ilizarov type external fixator in patients over 7 years old

Olalde HM, Olalde MMÁ, Hernández CS, Vega SG, Arroyo VJA, Moreno SAA

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Language: Spanish
References: 32
Page: 33-38
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ABSTRACT

The clubfoot adduct (PEVA) is one of the oldest and most common musculoskeletal malformations worldwide. Professor Gabriel A. Ilizarov treatment development in patients older than 7 years with PEVA some of whom had not had any management and others had been unsuccessful and recurrent treatments. Objective: The purpose of this treatment is to achieve the correction of the deformity possible to obtain the patient has painless plantigrade foot. Patients and methods: 11 patients of which 3 have bilateral condition 5 condition of the right lower limb and 3 of the left lower limb were studied. With a total of 14 feet analyzed. Results: Good in 7 patients, regular in 1 patient (for lack distractor device management by family members) and 1 wrong patient with poor outcome due to improper placement of the Ilizarov fixator (which ended in triple arthrodesis). The criteria of Dimeglio and Pirani have been used to evaluate this work. Discussion: In reviewing the literature in very remote times PEVA treatment was based on very invasive treatments were used as splints forcing the correction of foot deformities. At Children’s Hospital «Eva Sámano López Mateos» we are conducting the treatment of inveterate PEVA either ineffective treatment or patients who had never received any treatment. Conclusion: The PEVA is one of the most common disorders of the musculoskeletal system considered a public health problem, so we think appropriate for the early management of these patients will give us quite successful in correcting the deformity as mentioned by Dr. Ignacio Ponseti.

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