Neglected CTEV and Ilizarov assisted correction: A case report

Abstract

Clubfoot or congenital Talipes equino-varus is a congenital foot anomaly with a fixed pattern of deformities which include Cavus, Adductus, Varus, and Equinus. Neglected clubfoot can be related to situations of no treatment, inadequate, insufficient, or discontinued treatment presents in developing and underdeveloped countries. The options for treatment in such cases includes corrective osteotomies, arthrodeses, JESS fixator application or Ilizarov assisted correction Described is the case of CTEV presented late with left foot deformity. The left foot shows forefoot adduction, mid foot cavus and hind foot varus and Equinus at ankle joint. Callosities were present along the lateral border. Limited soft tissue release and Ilizarov fixator assisted distraction was done. Tibialis anterior lateralisation performed after correction in second sitting. The result was painless plantigrade foot with minimal post op scarring.