title: Surgical reconstruction of severe forefoot derangement in a patient with traumatically acquired contralateral limb-length discrepancy: a case report.
abstract: Limb-length discrepancy is a very common condition. A severe debilitating forefoot deformity resulting from a post-traumatic limb length discrepancy is quite rare. This case study discusses the surgical reconstruction of a forefoot deformity of a 64-year-old male following a post-traumatic limb-length discrepancy from a motor vehicle accident that caused compensatory biomechanical changes in the unaffected lower extremity. These changes resulted in a severe hallux abducto valgus deformity with subluxated metatarsophalangeal joints of the second and third digits, leaving the patient with a severe symptomatic forefoot deformity that closely mimics the radiographic appearance of a rheumatoid forefoot. The forefoot deformity was corrected using the Mckeever and Hoffman procedures with Kirschner-wire fixation. Seven months following the corrective procedures, the patient was able to obtain an asymptomatic plantigrade foot and can now wear regular footwear.
authors: Doctor's Hospital, Coral Gables, Florida, USA.
authors: Alexander
authors: A
authors: Bonner
authors: Carlton C
authors: CC
authors: Cranford
authors: Rakesh
authors: R
authors: Patel
authors: Andy
authors: A
authors: Chi
authors: Shamir
authors: S
authors: Bhikha
mesh_terms: D005531:Foot Deformities, Acquired / Q000601:surgery; D005545:Forefoot, Human / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006215:Hallux Valgus / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000601:surgery*; D008297:Male; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011859:Radiography; D019651:Plastic Surgery Procedures