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The foot construct consists of a posterior half ring over the calcaneum and another anterior half ring over the dorsum of the foot.
Wires no. 1 & 2 are fixed to the calcaneal half ring.
Wires no. 3 & 4 are fixed to the forefoot half ring.
The calcaneal half ring should be positioned parallel to the sole of the foot and tilted to match any hindfoot varus or valgus, while the forefoot half ring should be positioned perpendicular to the axis of the metatarsals (Fig. 11).
Initially, the Ilizarov fixator was set up for external transport, with a proximal half ring, a half ring for bone transport and a distal complete ring using the elevator method.
Open image in new window Fig. 1 The Ilizarov frame (Smith and Nephew, Memphis, Tennessee) consisted of two tibial rings, a half ring placed posterior and fixed on to the calcaneus and a midfoot transfixion half-ring.
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The calcaneal half-ring was fixed with 2 olive wires (1.5 mm), and the forefoot half-ring was fixed to the metatarsals by 2 wires (1.5 mm).
The metatarsal half-ring is perpendicular to the longitudinal axis of the forefoot.
Another half-ring for transfixion of the anterior and midfoot completed the frame configuration.
The calcaneal half-ring is stabilized by four to five opposing olive wires.
The sensors are inserted into unique double-elastic-half-ring grooves with an interference fit.
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