RESUMEN
High tibial osteotomy (HTO) is successful in treating symptomatic varus arthritis of the knee. We present a case where ankle pain and instability were attributed to varus ankle malalignment. This was found to be secondary to constitutional varus of the proximal tibia but the patient's knee was asymptomatic. The decision to operate on an asymptomatic knee in the hope of improving ankle symptoms took a period of careful consideration, planning and discussion. HTO was performed without immediate complication and the patient reported an excellent outcome with marked improvement in Mazur's foot and ankle score from 18 to 85. In well selected and planned cases, HTO may be considered as an instrument of deformity correction with improvement in symptoms from joints distant to the surgical site.
Asunto(s)
Enfermedades del Desarrollo Óseo/cirugía , Inestabilidad de la Articulación/cirugía , Osteocondrosis/congénito , Osteotomía/métodos , Tibia/cirugía , Articulación del Tobillo , Artralgia/etiología , Enfermedades del Desarrollo Óseo/complicaciones , Humanos , Inestabilidad de la Articulación/etiología , Masculino , Persona de Mediana Edad , Osteocondrosis/complicaciones , Osteocondrosis/cirugía , Resultado del TratamientoRESUMEN
Exercise is proven to be safe and effective treatment and is prescribed routinely for the conservative management of intermittent claudication. Before advising about the exercises, the assessment of these patients rarely includes risk factors for the Achilles tendon rupture. We present a case report of bilateral simultaneous and spontaneous rupture of the Achilles tendons secondary to the exercises prescribed for intermittent claudication in a patient with significant risk factors for Achilles rupture.
