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Background. Abducto-plano-valgus foot deformity is one of the most common diseases affecting children and teens. Recently, various methods of surgical treatment have been proposed for the same. However, despite the availability of various operational methods, there are several contradictions in the feasibility and success of a particular operation. Aim. To improve the technique of Evans Calcaneal osteotomy through the use of customized heel bone fixators. Materials and methods. A total of 30 patients (42 feet) aged 9–15 years with abducto-plano-valgus foot deformity were included. We undertook clinical examination, X-ray, computed tomography, and experimental researches. The surgical treatment consisted of Evans Calcaneal osteotomy, with the use of the standard method of fixation in group 1 ( n = 33 feet) and the use of a customized fixator in group 2 ( n = 9 feet). Results. The improved technique of Evans Calcaneal osteotomy using a special customized fixator allowed making the necessary correction in 100% of cases. The period of restoration of the heel bone integrity was reduced by an average of 30% ( p < 0.05). The period of restoration of the support became faster by almost 45% ( p < 0.05). Conclusion. The use of a special customized fixator for Evans Calcaneal osteotomy could significantly improve the outcomes and shorted the treatment time for children with abducto-plano-valgus foot deformity.

The first experience of using customized fixators in the surgical treatment of abducto-plano-valgus foot deformity in children