There is discomfort after surgery, which is managed with pain medication. Most patients find the pain manageable within the first few days. The frame itself does not cause ongoing pain once the initial healing begins.

Can I walk with the frame?

In most cases, yes — walking with the frame is encouraged as part of recovery. The extent of weight-bearing depends on the specific procedure and will be guided by Dr. Hoda.

How do I care for the pins?

Pin site care is taught before discharge. It involves cleaning around each pin with saline or as instructed, and monitoring for signs of infection such as redness, swelling or discharge.

How long until the frame is removed?

This depends on the condition being treated, the amount of correction needed, and how well the bone heals. It is usually several weeks to months. Dr. Hoda will give a more specific estimate after reviewing your X-rays.

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Clubfoot & Complex Foot Reconstruction

Written and medically reviewed by Dr. Shamsul Hoda, MBBS, D.Ortho., MS Ortho, M.Ch. Orth., Dip. Ilizarov (Kurgan) – Ilizarov & Limb Reconstruction Specialist

Last reviewed: November 2026 · About the author

Gradual correction of neglected, relapsed and adult clubfoot and other complex foot deformities using the Ilizarov method – often avoiding major bone-cutting surgery.

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Clubfoot correction – frame / X-raySquare image – 1080 × 1080 px

What is it?

Clubfoot (talipes equinovarus) is a deformity where the foot is twisted inward and downward. In neglected or relapsed cases, the Ilizarov method is used to gradually correct the deformity without extensive surgery. The technique is also used for other complex foot deformities including cavus foot, flat foot and post-traumatic foot deformities.

Who needs it?

Neglected or relapsed clubfoot in older children and adults
Rigid foot deformities not correctable by casting alone
Post-traumatic foot deformity
Neuromuscular foot deformity (e.g. after polio)
Complex flat foot or cavus foot

How is it treated?

The Ilizarov frame is applied to the foot and leg. Gradual adjustments correct the deformity over several weeks. In some cases, small releases or bone cuts are performed at the time of frame application. The frame holds the corrected position while the soft tissues and bone adapt.

What to expect

Frame treatment typically lasts several weeks to a few months. Physiotherapy is important to maintain correction and strengthen the foot. After frame removal, splinting or bracing may be required to maintain the correction during the remodelling phase.

Clubfoot correction – X-ray / illustrationSquare image – 1080 × 1080 px

Risks and Limitations

Like any surgery, this treatment carries risks. These can include pin-site infection, joint stiffness, delayed bone healing, and the need for further procedures. Results depend on age, general health, the condition being treated and following the treatment plan. Dr. Hoda will explain the risks that apply to you before you decide.

Frequently Asked Questions

Ready to discuss your case?

Book a consultation or send your X-rays on WhatsApp for an initial assessment.