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Evaluation of Neglected Idiopathic Ctev Managed by Ligamentotaxis Using Jess: A Long-Term Followup
Author(s) -
Ajai Singh
Publication year - 2010
Publication title -
advances in orthopedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.681
H-Index - 15
eISSN - 2090-3472
pISSN - 2090-3464
DOI - 10.4061/2011/218489
Subject(s) - medicine , radiological weapon , external fixator , distraction , surgery , physical therapy , biology , neuroscience
Background . This study was conducted with the aim of evaluating the role of Ligamentotaxis in the management of neglected clubfeet managed by ligamentotaxis using Joshi's External Stabilisation System (JESS). Method & Material . Total 20 subjects (28 feet) were studied, which were corrected by differential ligamentotaxis using JESS. All were evaluated clinically, radiologically, podogrammically, and by Catterall Pirani Scoring System, both before and after the correction. Results . Severity of the deformities and clinical correction was assessed by Pirani score. All patients achieved good clinical results as per Pirani score, which was statistically significant. Radiological evaluation showed that all subjects achieved the normal range of values. The pre- and postcorrection difference in FBA was statistically significant. Conclusion . Differential distraction by fixator for the correction of neglected idiopathic CTEV is an effective and patient-friendly method of management.

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