Vancastell Thylane E, Ianniello Sander V, Abdelhakim-Edres Kareem, Muscat Joseph, Krkovic Matija
Trauma and Orthopedic Surgery, Addenbrooke's Hospital, Cambridge University Hospitals National Health Service (NHS) Foundation Trust, Cambridge, GBR.
Trauma and Orthopedics, The Queen Elizabeth Hospital King's Lynn National Health Service (NHS) Foundation Trust, King's Lynn, GBR.
Cureus. 2025 May 25;17(5):e84763. doi: 10.7759/cureus.84763. eCollection 2025 May.
Fine wire frames are extensively utilized in the management of complex lower limb fractures and for deformity correction. Patients may develop equinus or equinovarus deformities in their feet due to the intricacies associated with the treatment. This may occur due to an inability to exercise and bear weight on the foot for various reasons or, more commonly, as a consequence of reverse tibial bone transport, in which the corticotomy is performed at the distal fragment, resulting in proximal bone transport. This technical note delineates the application of a foot plate to an existing fine wire frame when conservative management of equinus deformity of the foot has proven inadequate. The primary advantage of this technique lies in its capacity to facilitate a gradual increase in the movement of the ankle joint, all while being relatively minimally invasive. Our preliminary findings suggest that this method is safe and effective; however, it is imperative to note that there is a relatively high risk of recurrence of the deformity if the regained range of movement is not adequately protected through bracing or physiotherapy following the removal of the foot plate.
细钢丝框架广泛应用于复杂下肢骨折的治疗和畸形矫正。由于治疗相关的复杂性，患者足部可能会出现马蹄足或马蹄内翻畸形。这可能是由于各种原因导致无法活动足部并负重，或者更常见的是由于胫骨反向骨运输，即在远端骨折块进行皮质切开术，导致近端骨运输。本技术说明阐述了在足部马蹄足畸形保守治疗已证明不足时，将足板应用于现有的细钢丝框架的方法。该技术的主要优点在于能够促进踝关节活动逐渐增加，同时相对微创。我们的初步研究结果表明该方法安全有效；然而，必须注意的是，如果在拆除足板后没有通过支具或物理治疗充分保护恢复的活动范围，畸形复发的风险相对较高。
