RESUMO
Salvage of a failed hindfoot arthrodesis is an extensive undertaking for the surgeon and patient. With increased morbidity and postoperative convalescence and complications, patients must understand the risk involved in this type of revisional surgery. This article provides a systematic approach to revisional hindfoot arthrodeses, focusing on patient evaluation, surgical technique, and postoperative treatment.
Assuntos
Artrodese/métodos , Pé/cirurgia , Articulação do Tornozelo/diagnóstico por imagem , Articulação do Tornozelo/cirurgia , Artrodese/efeitos adversos , Artroscopia , Mau Alinhamento Ósseo/etiologia , Mau Alinhamento Ósseo/cirurgia , Pé/diagnóstico por imagem , Deformidades Adquiridas do Pé/etiologia , Deformidades Adquiridas do Pé/cirurgia , Humanos , Dispositivos de Fixação Ortopédica , Osteomielite/etiologia , Osteomielite/cirurgia , Seleção de Pacientes , Podiatria/métodos , Cuidados Pós-Operatórios/métodos , Radiografia , Reoperação/métodos , Fatores de Risco , Falha de TratamentoRESUMO
UNLABELLED: Ankle equinus can result from congenital, traumatic, neurological, and pathological etiologies. Corrective methods have been described in the literature using a combination of soft tissue releases or osseous procedures with reported complications. We present a case report of a patient with a post-traumatic fixed equinus deformity of 28 degrees at maximum dorsiflexion, treated successfully through gradual correction using a modified constrained external fixator. The patient maintained a rectus foot and was able to perform all daily activities at the final follow-up. Fixed equinus deformities can be difficult to manage. Gradual correction with an external fixator is a reasonable treatment option. LEVEL OF CLINICAL EVIDENCE: 4.
