FOOTPatient-based outcomes after Ilizarov surgery in resistant clubfeetUtukuri, Murali Mohan; Ramachandran, Manoj; Hartley, Jeanne; Hill, Robert A.Author Information Hospital for Sick Children, Great Ormond Street, London, UK Correspondence and requests for reprints to M.M. Utukuri, 6 Palm Close, Littleover, Derby DE23 3SB, UK Tel: 01332 518442; e-mail: [email protected] Journal of Pediatric Orthopaedics B: July 2006 - Volume 15 - Issue 4 - p 278-284 Buy Abstract We present the results of clinical evaluation and patient-based outcomes after Ilizarov surgery in resistant clubfeet (grade D clubfeet, Dimeglio–Bensahel system). This is a retrospective study of 26 resistant clubfeet in 23 children who were managed by the Ilizarov technique. The average age of the patients at the time of the operation was 9 years and the average follow-up period was 47 months. A calcaneal or mid-foot osteotomy followed by bony distraction was undertaken in nine feet and a soft-tissue distraction, with or without soft-tissue release, was undertaken in 17 feet. Clinical evaluation of the degree of correction of the deformity and functional evaluation, using patient-based questionnaires, were used in assessing the outcome in these patients. Patient-based outcomes give useful information about the functional status following surgery, complementing the objective assessment by the surgeon. Clinical evaluation revealed stiff, plantigrade feet in nine patients and a recurrent deformity after initial correction in the remaining 14 patients. The patient-based outcomes were good to excellent in 52% for satisfaction, 57% for cosmesis, 48% for walking and 73% for teasing (made fun of because of the shape of foot), showing that the functional results were better in these patients in spite of a poor surgical outcome. © 2006 Lippincott Williams & Wilkins, Inc.