A Two-Stage Foot Repair in a 55-Year-Old Man with Poliomyelitis.
J Am Podiatr Med Assoc
; 108(1): 63-67, 2018 Jan.
Article
en En
| MEDLINE
| ID: mdl-29547029
ABSTRACT
A 55-year-old man with poliomyelitis presented with a plantarflexed foot and painful ulceration of the sub-first metatarsophalangeal joint present for many years. A two-stage procedure was performed to bring the foot to 90°, perpendicular to the leg, and resolve the ulceration. The first stage corrected only soft-tissue components. It involved using a hydrosurgery system to debride and prepare the ulcer, a unilobed rotational skin plasty to close the ulcer, and a tendo Achillis lengthening to decrease forefoot pressure. The second stage corrected the osseous deformity with a dorsiflexory wedge osteotomy of the first metatarsal. The ulceration has remained closed since the procedures, with complete resolution of pain.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Osteotomía
/
Poliomielitis
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Colgajos Quirúrgicos
/
Hallux Valgus
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Procedimientos de Cirugía Plástica
/
Articulación Metatarsofalángica
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
Idioma:
En
Revista:
J Am Podiatr Med Assoc
Asunto de la revista:
PODIATRIA
Año:
2018
Tipo del documento:
Article