Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis

Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a comp...

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Autores principales: Kadado, Allen, Akioyamen, Noel Osereimen, Garfinkel, Rachel, Nahm, Nickolas, Zeni, Ferras
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994081/
https://www.ncbi.nlm.nih.gov/pubmed/35389910
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00116
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author Kadado, Allen
Akioyamen, Noel Osereimen
Garfinkel, Rachel
Nahm, Nickolas
Zeni, Ferras
author_facet Kadado, Allen
Akioyamen, Noel Osereimen
Garfinkel, Rachel
Nahm, Nickolas
Zeni, Ferras
author_sort Kadado, Allen
collection PubMed
description Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint. Because of pain with activities and functional limitations, the patient underwent a staged correction of the dislocation. The deformity was corrected through a staged approach using a Taylor Spatial Frame, navicular excision, talocuneiform arthrodesis, and calcaneocuboid arthrodesis. One year postoperatively, the patient is pain free with notable functional gains.
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spelling pubmed-89940812022-04-11 Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis Kadado, Allen Akioyamen, Noel Osereimen Garfinkel, Rachel Nahm, Nickolas Zeni, Ferras J Am Acad Orthop Surg Glob Res Rev Case Report Despite success of the Ponseti method, a subset of patients with clubfeet experience residual deformity. Surgical release after unsuccessful serial casting can lead to residual clubfoot deformities, including a flat-top talus. We present a case of a 17-year-old boy with a dysmorphic ankle and a complete dorsal dislocation of the Chopart joint. Because of pain with activities and functional limitations, the patient underwent a staged correction of the dislocation. The deformity was corrected through a staged approach using a Taylor Spatial Frame, navicular excision, talocuneiform arthrodesis, and calcaneocuboid arthrodesis. One year postoperatively, the patient is pain free with notable functional gains. Wolters Kluwer 2022-04-07 /pmc/articles/PMC8994081/ /pubmed/35389910 http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00116 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kadado, Allen
Akioyamen, Noel Osereimen
Garfinkel, Rachel
Nahm, Nickolas
Zeni, Ferras
Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title_full Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title_fullStr Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title_full_unstemmed Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title_short Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis
title_sort staged correction of severe recurrent clubfoot deformity with dislocation of the chopart joint using a hexapod external fixator and unconventional arthrodesis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8994081/
https://www.ncbi.nlm.nih.gov/pubmed/35389910
http://dx.doi.org/10.5435/JAAOSGlobal-D-21-00116
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