Be benefited, Make use of the Slide, Share it to everyone,Thank You

1. CLUB FOOT WITH ILIZAROV

2. DEFINITION
CONGENITAL CLUB FOOT IS A
COMPLEX DEFORMITIES OF THE
ANKLE AND FOOT THAT INCLUDES
FORE FOOT ADDUCTION, MID FOOT
SUPINATION, HIND FOOT VARUS
AND EQUINUS.

3. COMMON POSITIONS
•TALIPUS VARUS
•TALIPUS VALGUS
•TALIPUS EQUINUS
•TALIPUS CALCANIUS

5. CAUSES
• UNKNOWN
• GENETIC FACTOR
• ABNORMAL TENDON INSERTION
• OLIGOHYDROMNIAS
• DEVELOPMENTAL ARREST OF FETAL
DEVELOPMENT
• DIMINISHED VASCULAR CIRCULATION

6. PATHOPHYSIOLOGY
A STRONG FAMILIAR TENDENCY WITH ONE TO TEN
CHANCE THAT A PARENT WITH CLUB FOOT WILL
HAVE A AFFECTED CHILD
DISTAL LIMB AMNIOTIC BINDING
AMNION FORMS CONSTRICTIVE BONDS AROUND
LIMBS IN UTERO
CUTS OF CIRCULATION TO THE LIMBS
ABNORMAL OR ARRESTED DEVELOPMENT.

7. DIAGNOSTIC EVALUATION
• PHYSICAL EXAMINATION
• RADIOGRAPHY
• X-RAY

8. MANAGEMENT
• CORRECTION OF DEFORMITY
• MAINTENANCE OF
CORRECTION UNTIL NORMAL
MUSCLE BALANCE IS
REGAINED
• ILIZAROV MANAGEMENT

10. POST-OPERATIVELY:
• PATIENT SHOULD REMAIN IN THE HOSPITAL
FOR 3-7 DAYS.
• A COMPLETE PROCEDURE MAY REQUIRE
LONGER INSTAY IN HOSPITAL.
• STRAIGHTENING OF THE LIMB BEGINS FROM
1-2 WEEKS AFTER SURGERY.
• LATENT PHASE
• DISTRACTION PHASE
• CONSOLIDATIOPN PHASE

11. COMPLICATION
• INFECTION
• DVT
• BLOOD VESSEL INJURY
• NON-UNION, MALUNION
• JOINT CONTRACTURE
• SCARING

12. PRE OPERATIVE DIAGNOSIS
• IMPAIRED PHYSICAL MOBILITY RELATED TO
CONGENITAL DEFORMITY AS MANIFESTED BY
LIMPINS WHILE WALKING
• BODY IMAGE DISTURBANCE RELATED TO
CONGENITAL CLUB FOOT AS EVIDENCED BY
HIS VERBALIZATION

13. POST OPERATIVE
• ACUTE PAIN RELATED TO SURGICAL INCISION
AND REFLEX MUSCLE SPASM AS
MANNIFESTED BY COMPLAINTS OF PAIN
• ACTIVITY INTOLERNCE RELATED TO
GENERALIZED WEAKNESS AS EVIDENCED BY
ENDURE ACTIVITIES
• POTENTIAL FOR HEMORRHAGE RELATED TO
INEFFECTIVE VASCULAR CLOSUR

14. ANY QUESTIONS

15. THANK YOU