AI Article Synopsis
- The study aimed to compare the outcomes of using an Ilizarov fixator versus a plaster of Paris boot for protecting heel and foot flaps in patients after surgery.
- A total of 31 patients were reviewed, with 21 using the Ilizarov fixator and 10 using the boot; most found the boot heavy and reported similar satisfaction with both methods.
- The Ilizarov technique may be preferable for complex wounds, while the plaster boot can still be effective for simpler cases, particularly for patients who might struggle with compliance or are overweight.
Article Abstract
Objective: To compare outcome of Ilizarov fixator for protection of heel and foot flaps with that of plaster of Paris boot technique.
Methods: The retrospective chart review was conducted at The Indus Hospital, Karachi, and comprised data of patients who underwent flap reconstruction of the heel from January 2011 to December 2014. All patients had a minimum follow-up of 3 months. The patients using Ilizarov fixator were placed in group A and those with modified plaster of Paris boot as the elevation device were placed in group B. A detailed questionnaire was developed to note down the relevant variables.
Results: Of the 31 patients, 21(70%) were in group A and 10(30%) in group B. The modified boot was considered heavy (70%) compared to none in the Ilizarov group. The mean time of removal was 5.9 wks in group A and 4.8 weeks in group B. The mean time for use of Foley\'s catheter was 16.8 hours in group A and 14.8 hours in group B. There was significant number of associated bony injuries (33%) in group A and none in group B. Both groups were satisfied with the outcome.
Conclusions: While Ilizarov technique is recommended for patients with extensive wounds along the heel and foot, obese patients and those non-compliant to the positioning protocol, careful use of modified plaster of Paris boot technique in relatively simpler situations of heel reconstruction with flaps is also very rewarding.
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