PMC7256205_01
The clinical picture showed a rocker-bottom foot and the disappearance of foot tripod on the right foot.
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Physical examination revealed rocker-bottom deformity, but there was no edema, ulceration, or local rise in temperature (Fig. 1).
Radiographic result of the right foot demonstrated a deformity of the forefoot bone.
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CT-scan and plain radiographs revealed the bone deformity of the forefoot with Meary's angle of 22 , Bohler angle of 88 , and Gissane angle of 125  (Fig. 2).
Plain radiograph after forefoot arthrodesis procedure fixed by screws and K-wire.
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After establishing the diagnosis, the patient underwent forefoot arthrodesis by using screws and K-wire fixation (Fig. 3).
Plain radiograph in three months after forefoot arthrodesis showed the bony union of the talus bone fixed by screws and K-wire.
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Furthermore, the radiological union of talus was obtained three months after surgery (Fig. 4); the AOFAS score further improved to 69.
Plain radiograph in six months after forefoot arthrodesis showed the bony union and good improvement of Meary's angle measurement at 8  from 22  before surgery.
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The foot pain was absent sixth months after the surgery while physical and radiological examination showed improvement of the foot arch and the Meary's angle improved to 8  (Fig. 5).