78: Two-Stage Treatment of a Chronic Foot Dislocation

Fig. 1
(ac) Photos of the patient before treatment
A337458_1_En_130_Fig2_HTML.jpg
Fig. 2
(a, b) Radiographs before treatment

3 Preoperative Problem List

1.
The chronic dislocation of the left foot
 
2.
Pseudarthrosis of medial malleolus and traumatic deformity of lateral malleolus
 
3.
Vascular and neurological disorders
 

4 Treatment Strategy

  • Osteotomy of lateral malleolus and applying hexapod software (Ortho-SUV Frame) for gradual correction estimated 18 days long (according to software calculation) to reduce the dislocation
  • Staged ankle arthrodesis using locking nail

5 Basic Principles

1.
The use of external fixation provides the ability to reduce the dislocated ankle gradually with minimal trauma.
 
2.
The use of computer-assisted Ortho-SUV Frame provides a precise, one-step gradual reduction of the joint.
 
3.
The early conversion to internal nailing provides rigid compression fixation without the need for a bulky and uncomfortable external frame.
 
Apr 2, 2016 | Posted by in Reconstructive surgery | Comments Off on 78: Two-Stage Treatment of a Chronic Foot Dislocation

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