Kadado A, Akioyamen NO, Garfinkel R, Nahm N, and Zeni F. Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis. J Am Acad Orthop Surg Glob Res Rev 2022; 6(4).
J Am Acad Orthop Surg Glob Res Rev
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.
Medical Subject Headings
Adolescent; Ankle Joint; Arthrodesis; Clubfoot; External Fixators; Humans; Joint Dislocations; Male; Talus