Role of Jess in Management of Neglected, Relapsed And Resistant Ctev

Aim: To evaluate the role of Joshi’s external stabilization system in the management of neglected, resistant and relapsed CTEV, in the age group of 1-10 years. Methods And Material: Total 18 patients (20 feet’s) underwent JESS fixation surgery at Department of Orthopedics, S.R.N.Hospital, M.L.N. Medical College Allahabad, from January 2012 to July 2015. This prospective study was conducted on every third patient coming with neglected, relapsed or resistant CTEV in OPD of Orthopedics Results: The clinical correction of the deformity was assessed using Dimeglio's classification system. The maximum clinical correction was seen in equinus deformity, followed closely by calcaneo-forefront block deformity. The deformities, which responded least, were varus and forefoot adduction deformities. 95% of the patients were in grade I or grade II. Conclusion: Correction by JESS fixator has distinct advantage of fractional distraction which appears to be effective method of management irrespective of the severity of the deformity.