Club foot with ilizarov
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Transcript of Club foot with ilizarov
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CLUB FOOT WITH ILIZAROV
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DEFINITIONCONGENITAL CLUB FOOT IS A COMPLEX DEFORMITIES OF THE ANKLE AND FOOT THAT INCLUDES FORE FOOT ADDUCTION, MID FOOT SUPINATION, HIND FOOT VARUS AND EQUINUS.
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COMMON POSITIONS
• TALIPUS VARUS• TALIPUS VALGUS• TALIPUS EQUINUS• TALIPUS CALCANIUS
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CAUSES• UNKNOWN • GENETIC FACTOR• ABNORMAL TENDON INSERTION• OLIGOHYDROMNIAS• DEVELOPMENTAL ARREST OF FETAL
DEVELOPMENT• DIMINISHED VASCULAR
CIRCULATION
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PATHOPHYSIOLOGYA STRONG FAMILIAR TENDENCY WITH ONE TO TEN
CHANCE THAT A PARENT WITH CLUB FOOT WILL HAVE A AFFECTED CHILD
DISTAL LIMB AMNIOTIC BINDING
AMNION FORMS CONSTRICTIVE BONDS AROUND LIMBS IN UTERO
CUTS OF CIRCULATION TO THE LIMBS
ABNORMAL OR ARRESTED DEVELOPMENT.
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DIAGNOSTIC EVALUATION
• PHYSICAL EXAMINATION• RADIOGRAPHY• X-RAY
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MANAGEMENT
• CORRECTION OF DEFORMITY•MAINTENANCE OF
CORRECTION UNTIL NORMAL MUSCLE BALANCE IS REGAINED• ILIZAROV MANAGEMENT
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POST-OPERATIVELY:• PATIENT SHOULD REMAIN IN THE HOSPITAL
FOR 3-7 DAYS.• A COMPLETE PROCEDURE MAY REQUIRE
LONGER INSTAY IN HOSPITAL.• STRAIGHTENING OF THE LIMB BEGINS FROM
1-2 WEEKS AFTER SURGERY.• LATENT PHASE• DISTRACTION PHASE• CONSOLIDATIOPN PHASE
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COMPLICATION• INFECTION• DVT• BLOOD VESSEL INJURY• NON-UNION, MALUNION• JOINT CONTRACTURE• SCARING
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PRE OPERATIVE DIAGNOSIS
• IMPAIRED PHYSICAL MOBILITY RELATED TO CONGENITAL DEFORMITY AS MANIFESTED BY LIMPINS WHILE WALKING
• BODY IMAGE DISTURBANCE RELATED TO CONGENITAL CLUB FOOT AS EVIDENCED BY HIS VERBALIZATION
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POST OPERATIVE • ACUTE PAIN RELATED TO SURGICAL INCISION
AND REFLEX MUSCLE SPASM AS MANNIFESTED BY COMPLAINTS OF PAIN
• ACTIVITY INTOLERNCE RELATED TO GENERALIZED WEAKNESS AS EVIDENCED BY ENDURE ACTIVITIES
• POTENTIAL FOR HEMORRHAGE RELATED TO INEFFECTIVE VASCULAR CLOSUR
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ANY QUESTIONS
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THANK YOU