Rasor Zachary L, Henning Jordan, Blanton Casie, Blanchard Anthony J, Leonchuk Sergey S
Resident, Division of Podiatric Surgery, University of Cincinnati Medical Center, Cincinnati, OH.
Resident, Division of Podiatric Surgery, University of Cincinnati Medical Center, Cincinnati, OH.
J Foot Ankle Surg. 2019 Sep;58(5):1040-1044. doi: 10.1053/j.jfas.2018.11.016. Epub 2019 Jul 23.
External fixation is used for the correction of select foot and ankle deformities. We have found the traditional forefoot crossing wire technique to be insufficient in terms of both individual metatarsal control and forefoot manipulation when using a dynamic ring fixator to correct forefoot deformities. We developed a forefoot fixation technique at the University of Cincinnati Medical Center, using 5 vertical wires to gain greater forefoot control while performing more precise skeletal manipulation for multiplanar deformity correction. The associated risks of infection, neurovascular injury, and other soft-tissue injury should be further investigated. This proposed vertical wire construct is an advanced method with which the foot and ankle surgeon can correct complex lower limb deformities.
外固定用于矫正特定的足踝畸形。我们发现，在使用动力环形固定器矫正前足畸形时，传统的前足交叉钢丝技术在单个跖骨控制和前足操作方面都不够充分。我们在辛辛那提大学医学中心开发了一种前足固定技术，使用5根垂直钢丝来更好地控制前足，同时在进行多平面畸形矫正时进行更精确的骨骼操作。感染、神经血管损伤和其他软组织损伤的相关风险应进一步研究。这种提议的垂直钢丝结构是一种先进的方法，足踝外科医生可以用它来矫正复杂的下肢畸形。
