Treatment of Relapsed Clubfoot through Arthrodiastasis
DOI:
https://doi.org/10.61443/rto.v26i1.510Keywords:
rigid equinovarus foot, circular external fixator, arthrodiastasis, complex foot deformities, gradual correctionAbstract
The correction of complex rigid equinovarus foot deformities remains a therapeutic challenge, particularly in patients with joint stiffness and previous surgical interventions. Conventional acute surgical approaches based on extensive osteotomies and soft tissue releases are associated with increased morbidity and risk of foot shortening. Gradual correction using circular external fixation allows progressive three-dimensional realignment through joint distraction, preserving bone length and facilitating soft tissue adaptation. This report describes the application of a two-stage frame configuration (AACD Frame) in a pediatric patient with recurrent rigid deformity, initially addressing forefoot adduction and subsequently ankle equinus through controlled adjustments of the rotation axis. Progressive realignment was achieved with satisfactory early clinical evolution, highlighting the technique as a valuable option in the management of complex rigid foot deformities.
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