JOSHI'S EXTERNAL STABILISATION SYSTEM (JESS), FOR RECURRENT CTEV DUE TO IRREGULAR FOLLOW UP

Abstract

Anil Babu Patibandla1, V. Narayana Rao Vetapalem2

The incidence of congenital talipes equinovarus is approximately one in every 1000 live births. Most cases are sporadic in occurrence. Contractures or anomalies of the soft tissues exert further deforming forces and resist correction of bony deformity and realignment of the joints.
MATERIALS AND METHODS Our study is done with children presenting with clubfoot at different ages from one year to two years of age. The deformity in these children is recurrent because of discontinued treatment after the correction is achieved with serial castings alone or with tenotomy for tendo Achillis. Our study has been done to know the efficacy of JESS fixator as an alternative to avoid soft tissue release and other osteotomies.
RESULTS
The target is set for achieving Pirani’s <4 with clinical deformity. These cases are again started on castings.
CONCLUSION
JESS fixator can avoid soft tissue as well as bony procedures to correct the deformity while preserving the normal anatomy

image