Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis

Autor: Allen, Kadado, Noel Osereimen, Akioyamen, Rachel, Garfinkel, Nickolas, Nahm, Ferras, Zeni
Rok vydání: 2022
Předmět:
Zdroj: JAAOS: Global Research and Reviews. 6
ISSN: 2474-7661
Popis: Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint. Because of pain with activities and functional limitations, the patient underwent a staged correction of the dislocation. The deformity was corrected through a staged approach using a Taylor Spatial Frame, navicular excision, talocuneiform arthrodesis, and calcaneocuboid arthrodesis. One year postoperatively, the patient is pain free with notable functional gains.
Databáze: OpenAIRE