Fig. 1
(a–c) Photos of the patient before treatment
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.
6 Images During Treatment
See Figs. 3, 4, 5, and 6
8: Femoral Bone Defect
11: Bone Transport Over a Nail for Infected Tibial Nonunion and Bone Defect
22: Bone Transport to a Knee Fusion and Secondary Intramedullary Nailing s/p Gunshot Wound
39: Ilizarov Ankle Fusion
84: Lapidus Fusion with External Fixation
65: Closed Correction of Club Foot with Ilizarov
Fig. 3
Photo and radiographs just after a surgery: Ortho-SUV Frame was assembled, osteotomy of lateral malleolus was made, luxation partially eliminated
Related posts:
8: Femoral Bone Defect
11: Bone Transport Over a Nail for Infected Tibial Nonunion and Bone Defect
22: Bone Transport to a Knee Fusion and Secondary Intramedullary Nailing s/p Gunshot Wound
39: Ilizarov Ankle Fusion
84: Lapidus Fusion with External Fixation
65: Closed Correction of Club Foot with Ilizarov
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