TALIPES CALCANEO VALGUS FOOT WITH CHRONIC OSTEOMYELITIS- A CASE STUDY ON PRIMARY ANKLE ARTHRODESIS

Dr. Radhesh R Menon, Dr. Haridas S

Abstract


Aim- To provide the functional ability to the deformed ankle joint and foot.

Methods- 10-year-old male came with deformity of the left ankle and foot following the history of snakebite injury five months back. The patient was managed conservatively at the time of injury and later progressed to develop chronic osteomyelitis of the distal tibia, talus and calcaneum. Patient on presentation had a talipes-calcaneo-valgus deformity, with discharging sinus. The patient underwent deformity correction by distal tibia osteotomy, bone grafting and tibiotalocalcaneal arthrodesis with Steinman pin. The soft tissue defect closed with primary reverse sural artery flap. Postoperatively, the patient underwent multiple debridement procedures, and defect finally closed with a split skin graft. The patient now does not have any discharge from the foot, Steinman pins removed. The arthrodesis is uniting with no persistent visible deformity and soft tissue defect.

Results- Achieved primary ankle arthrodesis with closure and no progression of the deformity 

Conclusion-The goals of surgery were deformity correction, reduced bracing, and ability to wear regular shoes and to maintain function. 


Keywords


complex foot deformity, arthrodesis, poliomyelitis, trauma

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