Reconstruction of multiplanar ankle and hindfoot deformity with intramedullary techniques.
The goal of ankle and hindfoot reconstruction should be to address the presenting concerns of the patient and the deformity and to achieve a stable, functional, and plantigrade foot. These goals are accomplished by using appropriate preoperative patient assessment and planning and using meticulous intraoperative technique and aftercare. An algorithmic approach to multiplanar hindfoot deformity is presented in this article along with the author's preferred method of treatment, aftercare, and management of complications. Great emphasis is given to preoperative planning in order to ensure the best possible postoperative outcomes.
Quill
George E
GE
Department of Orthopedic Surgery, University of Louisville School of Medicine, Louisville, KY 40202, USA. Gboneq1@yahoo.com
D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis / Q000295:instrumentation / Q000379:methods; D001858:Bone Nails; D005260:Female; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005545:Forefoot, Human / Q000000981:diagnostic imaging / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000503:physiopathology; D011379:Prognosis; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery