[Treatment of equino-excavato-varus deformity of the feet in adults using a hinge-distraction apparatus].

The treatment of severe aggravated forms of equino-excavato-varus deformation of the feet of various etiology is rather difficult because the resections performed to eliminate the deformation require the removal of large quantities of the bone tissue and are traumatic, and when accompanied by neurotrophic disturbances they are usually contraindicated. At the Central Institute of Traumatology and Orthopaedics 65 patients with acutely pronounced feet deformations have been treated with Volkov-Organesian-Povarov distraction apparatuses. In 34 patients the deformation was accompanied by various neurotrophic disturbances. The results were good in 61 feet, satisfactory in 18 feet and bad in 4 feet. The experiment has demonstrated the efficacy of apparatus treatment, especially in the cases of aggravated forms of feet deformations, where this method often is the only one available.