Date: Sun, 11 Mar 2001 16:06:09 +0500

Subject: A foot malunion

Hello All,

A colleague of mine from another facility presented a case of foot malunion (images attached) among other severe injury sequelae (there is also osteomyelitis of the femur and pelvic nonunion). The injury was 6 months ago. The colleague has some considerations about the other regions.

What about the foot - it is in stiff equinus and there is a pressure sore above the base of the Ist metatarsal bone. What treatment plan for the foot deformation you would choose? Just correct the equinus with external lfixator? Perform osteotomy of metatarsal bones? All or 1st only?

THX in advance.

Best regards,

Alexander N. Chelnokov,
Ural Scientific Institute of Traumatology and Orthopaedics
Ekaterinburg 620014 Russia

Reply at: Orthopaedic Trauma Association forum

Date: Sun, 11 Mar 2001 06:35:02 -0500

From: bruce meinhard

Alex,

I think definitely a metatarsal osteotomy and a posterior lengthening and capsular release which could be done open or by the Ilizarov technique.

BPM