{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:47:53Z","timestamp":1777614473866,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot &amp; Ankle Orthopaedics"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Stiff equinocavus deformities of the foot are challenging to treat, often requiring extensive soft tissue dissection and bone removal. These procedures frequently yield suboptimal results and not infrequently amputation. Minimally invasive surgery using a circular external fixator potentially avoids the trauma to the soft tissue and may lead to improvement in outcomes and a lower amputation rate. The objective of this study was to evaluate the efficacy of minimally invasive surgery using a circular external fixator and limited soft tissue release to correct stiff equinocavus deformities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The treatment outcome of 29 patients (31 feet) with stiff equinocavus deformities of the foot and ankle treated with minimally invasive surgery and circular external fixation were reviewed after a mean follow-up period of 63 months. Patients\u2019 demographics and cause of the deformities were recorded. Weight bearing radiographs of the foot were compared pre and postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Outcome was satisfactory (plantigrade foot with improvement\/resolution of pain) in 21 of 31 extremities, fair in 6 of 31 extremities, and poor in 4 of 31 extremities. In the majority of patients, a significant improvement in the equinocavus deformities was achieved with a statistically significant improvement in calcaneus and navicular height. Two patients with Charcot-Marie-Tooth and severely insensate feet had a poor outcome, resulting in transtibial amputation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Minimally invasive surgery with gradual correction of neglected stiff equinocavus deformities using a modular circular external fixator is a reliable initial limb salvage strategy. Minimally invasive surgery and gradual correction of neglected severe stiff equinocavus deformities using the modular circular external fixator to gradually correct neglected severe stiff equinocavus deformities, is a safe initial limb salvage strategy which may simplify secondary procedures such as arthrodesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/24730114231195038","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T03:23:09Z","timestamp":1691983389000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Republication of \u201cMinimally Invasive Surgery Using the Circular External Fixator to Correct Neglected Severe Stiff Equinocavus Foot Deformities\u201d"],"prefix":"10.1177","volume":"8","author":[{"given":"Ricardo Cardenuto","family":"Ferreira","sequence":"first","affiliation":[{"name":"Foot and Ankle Division, Orthopedics Department, Santa Casa School of Medicine and Hospitals of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco T\u00falio","family":"Costa","sequence":"additional","affiliation":[{"name":"Foot and Ankle Division, Orthopedics Department, Santa Casa School of Medicine and Hospitals of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cleber","family":"Lotti","sequence":"additional","affiliation":[{"name":"Foot and Ankle Division, Orthopedics Department, Santa Casa School of Medicine and Hospitals of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lysie","family":"Pistorello","sequence":"additional","affiliation":[{"name":"Foot and Ankle Division, Orthopedics Department, Santa Casa School of Medicine and Hospitals of S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70204-2"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11751-011-0119-y"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.oto.2011.01.006"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cuor.2003.10.001"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/BTF.0b013e3180621e20"},{"issue":"1","key":"e_1_3_2_7_2","first-page":"51","article-title":"The Ilizarov external fixation frame in compression arthrodesis of large, weight bearing joints","volume":"70","author":"Calif E","year":"2004","unstructured":"Calif E, Stein H, Lerner A. The Ilizarov external fixation frame in compression arthrodesis of large, weight bearing joints. Acta Orthop Belg. 2004;70(1):51-56.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181bc01e6"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-013-1345-4"},{"key":"e_1_3_2_10_2","first-page":"15","article-title":"Stabilizing operation in the treatment of paralytic deformities of the foot","volume":"15","author":"Dunn N","year":"1922","unstructured":"Dunn N. Stabilizing operation in the treatment of paralytic deformities of the foot. Proc R Soc Med. 1922;15(Surg Sect):15-22.","journal-title":"Proc R Soc Med"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2008.04.007"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fas.2010.12.001"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070602700407"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2007.0557"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.3113\/FAI.2010.0113"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.5505\/tjtes.2012.28158"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/107110070302400214"},{"key":"e_1_3_2_18_2","first-page":"1","article-title":"Talectomy for equinovarus deformity in family members with hereditary motor and sensory neuropathy type I","author":"Georgiev H","year":"2014","unstructured":"Georgiev H, Georgiev GP. Talectomy for equinovarus deformity in family members with hereditary motor and sensory neuropathy type I. Case Rep Orthop. 2014;1-6.","journal-title":"Case Rep Orthop"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cuor.2003.09.004"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200112000-00028"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70201-7"},{"key":"e_1_3_2_22_2","first-page":"46","article-title":"Method of treating talipes equinocavus","volume":"5","author":"Ilizarov GA","year":"1983","unstructured":"Ilizarov GA, Shevtsov VI, Kuz\u2019min NV. Method of treating talipes equinocavus. Ortop Traumatol Protez. 1983;5:46-48.","journal-title":"Ortop Traumatol Protez"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1067-2516(02)80007-2"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2008.05.010"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2013.06.007"},{"key":"e_1_3_2_26_2","first-page":"885","article-title":"Deformity correction by the Ilizarov technique","volume":"61","author":"Paley D","year":"1993","unstructured":"Paley D, Tetsworth KD. Deformity correction by the Ilizarov technique. Oper Orthop. 1993;61:885-948.","journal-title":"Oper Orthop"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00559"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e31820334c7"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11751-007-0015-7"},{"key":"e_1_3_2_30_2","first-page":"1699","article-title":"Treatment of posttraumatic equinus deformity and concomitant soft tissue defects of the heel","volume":"71","author":"Shu H","year":"2011","unstructured":"Shu H, Ma B, Kan S, Wang H, Shao H, Watson JT. Treatment of posttraumatic equinus deformity and concomitant soft tissue defects of the heel. J Trauma. 2011;71:1699-1704.","journal-title":"J Trauma"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016470510030670"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200505000-00005"},{"issue":"4","key":"e_1_3_2_33_2","first-page":"316","article-title":"Talectomy for the treatment of neglected pes equinovarus deformity in patients with neuromuscular involvement [in Turkish]","volume":"39","author":"Yal\u00e7in S","year":"2005","unstructured":"Yal\u00e7in S, Kocaoglu B, Berker N, Erol B. Talectomy for the treatment of neglected pes equinovarus deformity in patients with neuromuscular involvement [in Turkish]. Acta Orthop Trauma Turc. 2005;39(4):316-321.","journal-title":"Acta Orthop Trauma Turc"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000479"}],"container-title":["Foot &amp; Ankle Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114231195038","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/24730114231195038","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/24730114231195038","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T21:28:42Z","timestamp":1777411722000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/24730114231195038"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1177\/24730114231195038"],"URL":"https:\/\/doi.org\/10.1177\/24730114231195038","relation":{"is-identical-to":[{"id-type":"doi","id":"10.1177\/2473011418789370","asserted-by":"subject"}]},"ISSN":["2473-0114","2473-0114"],"issn-type":[{"value":"2473-0114","type":"print"},{"value":"2473-0114","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"article-number":"24730114231195038"}}