THE ERRORS, COMPLICATIONS AND MEASURES FOR ITS PREVENTION IN THE TREATMENT OF SCHOOL AGE CHILDREN WITH CONGENITAL RECURRENT CLUBFOOT BY ILIZAROV METHOD

Abstract

Objective. To analyze the errors and complications of treatment of school age children with congenital recurrent clubfoot, treated in RISC «RTO» by transosseous osteosyntesis. Material and methods. Within the period of 1999-2010 119 patients (148 feet) between the ages of 7 to 18 years with congenital recurrent clubfoot were treated by the Ilizarovs method. Patients of this group, along with holding the wires on the shin and foot, corresponding to the Ilizarov fixator assembly, received surgical procedures on soft tissue, osteotomy and stabilizing operations. Results. In the course of treatment complications were observed in 22 patients, accounted for 18.5% of the total number of patients. All complications were typical for transosseous osteosynthesis, eliminated during a course of treatment and did not affect his final result. Conclusion. Adherence to the methodical principles of transosseous osteosynthesis by Ilizarov in the surgical treatment of patients of school age with recurrent congenital clubfoot and rational management of patients in the postoperative period is the prevention of complications and contributes to achieving good results.

Keywords

• врожденная косолапость
• рецидив
• чрескостный остеосинтез
• дети школьного возраста
• congenital clubfoot
• recurrence
• transosseous osteosyntesis
• school age