Fine-wire fixators for foot deformities

Fine-wire frame fixation using the methods developed by Gavril A. Ilizarov and refined by many surgeons can be used as a method for correction of forefoot and hindfoot deformities. Closed or open correction is used depending upon the severity of the deformity. Osteotomies or fusions are likely to be required to maintain correction for older children and adults. The frame is designed to address the specific condition, using varying combinations of half rings, wires, pins, and olive wires with a circular leg support, to subject bone to the tension needed to correct deformities and allow proper bone regeneration. Although technically demanding, this technique provides a dynamic method for the treatment of complex deformities, with minimal injury to soft tissue, stable fixation, early weight bearing, and restoration of limb length and anatomical alignment. Potential complications include mechanical failure of the apparatus, infection, and recurrence.