MANAGEMENT OF NEGLECTED AND RESISTANT CASES OF CTEV BY JESS EXTERNAL FIXATOR

Volume : VII, Issue : VI, June - 2018

Dr Viaykumar Kulambi, Dr Anand Katakdhond

BACKGROUND AND OBJECTIVES: Club Foot is the most common congenital

deformity. It can be identified at birth by observing forefoot adduction, hind foot

inversion,pescavus and equinus deformity. The study was conducted to evaluate the

functional outcome of controlled fractional differential distraction in the management

of neglected and resistant club foot by Joshi�s external Stabilization System (JESS)

METHODS: 20 children underwent 20 JESS procedure at department of

orthopaedics, JJM Medical College, attached to government hospital , Davangere and

Bapujihospital ,Davangere. During the period from September 2015 to September

2107,patients were followed regularly. Three dimensional corrections was achieved

by use of the distractor device.

RESULTS: Excellent results in 7 feet, good results in 9 feet, and fair in 3 patients

and 1 feet was poor

CONCLUSION: The JOSHI�S EXTERNAL STABILIZATION SYSTEM is a semi

invasive method, safe method for correction of neglected and resistant cases of

CTEV. It avoids all surgical methods post–operative complications, by causing

physiological lengthening of soft tissues, by histiogenesis of soft tissues provides,

proper control of all components of correction