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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A STUDY OF OUTCOME OF B.B.JOSHI’S EXTERNAL FIXATOR FOR MANAGEMENT OF NEGLECTED AND RELAPSED CASES OF CONGENITAL TALIPES EQUINO VARUS
Author
K. Sundaresh1, E. Venkateshulu2, Bellara Raghavendra3*, M Venkata Subba Reddy4, Shaikh Mohammad Imran5
Email
bellararaghu@gmail.com
keyword
Neglected clubfoot, Relapsed clubfoot, Joshi’s external fixator.
Abstract
Congenital Talipes Equino Varus is the commonest deformity of the foot and affects males 10:7 more often than females. Bilateral deformities are noted in 78.5% of the cases. Rehabilitation of such cases depends upon the age of starting the treatment and severity of the deformity. Objective to study the outcome Joshi’s external fixator for management of neglected and relapsed cases of Congenital Talipes Equino Varus. This case series study was conducted at the Department of Orthopaedics at the Vijayanagara Institute of Medical Sciences, Ballari, Karnataka, India, between January 2010 and December 2011 where in 28 feet belonging to 17 patients aged between 1 to 26 years, Neglected clubfoot (n=11) and Relapsed clubfoot after previous surgery (n=17) were included in this study. Majority of the patients underwent JESS procedure (24 feet) and 3 cases underwent Triple arthrodesis and only 1 case underwent Ilizarov technique of correction. Using the Hospital for Joint Diseases Orthopaedic Institute functional rating system for clubfoot surgery, excellent results were obtained in 5 (17.8%) feet, good results in 19 (67.8%) feet, fair result in 2 (7.1%)and poor results in 2 (7.1%) feet. The common complication being loosening of assembly (35.7%), flexion contracture of toes (28.6%) followed by pin-tract infections (21.4%). B.B. Joshi’s external fixator gives faster correction i.e., within 6 weeks to 8 weeks and it is simpler, faster, cosmetically more acceptable and with lasting results without any relapse.
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