Use of Ilizarov Device to Gain Early Range of Motion in the Treatment of Pediatric Talus Body Fractures: A Series of Four Cases and Literature Review. Issue 8 (22nd June 2022)

• Record Type: Journal Article
• Authors: Zhu, WenTao; Chu, ShuJuan; Li, Qi; Rai, Saroj; Liu, WenQi; Tang, Xin
• Is Part Of: Orthopaedic surgery. Volume 14:Issue 8(2022)
• Page Start: 1907
• Page End: 1911
• Publication Date: 2022-06-22
• Subjects: children -- Ilizarov device -- internal fixation -- open reduction -- talus body fracture; Orthopedic surgery -- Periodicals; Orthopedics -- Periodicals; Musculoskeletal system -- Wounds and injuries -- Periodicals; 617.47005
• DOI: 10.1111/os.13376
• Languages: English
• ISSNs: 1757-7853

Abstract

Abstract: Background: Talus fractures are rare in children but can lead to severe outcomes if untreated. The Ilizarov external fixator has been used in the treatment of a variety of lower extremity pathologies. The purpose of this study was to investigate the clinical outcomes of talus body fractures treated with the Ilizarov external fixator. Case Presentation: Four male pediatric patients (age range, 5–11 years) with talus body fractures who were treated by open reduction and internal fixation combined with Ilizarov external fixator between November 2015 and April 2016 were reviewed. Mean follow‐up period was 4 years (range, 4–5). Clinical outcome was evaluated using the clinical rating scale of the American Orthopaedic Foot and Ankle Society (AOFAS). All four patients achieved good to excellent results at the last follow‐up. None of the patients developed avascular necrosis. One patient developed automatic fusion of tibiotalar joint. Conclusion: Use of the Ilizarov external fixator to gain early range of motion is a valuable option for treatment of talus body fractures in children. Abstract : Four male pediatric patients with talus body fractures were treated by open reduction and internal fixation combine with the Ilizarov external fixator. The functional and cosmetic outcomes were satisfactory at the last follow‐up without avascular necrosis. The use of the Ilizarov external fixator to gain early ROM is a valuable option in talus body fractures in children.