RESUMO
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.
Assuntos
Pé Equino/cirurgia , Fixadores Externos , Acidentes de Trânsito , Adulto , Pé Equino/etiologia , Desenho de Equipamento , Feminino , HumanosRESUMO
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.