PMC7493869_01
preoperative Radiographs showing failure of the fixation construct and the patient developed Charcot arthropathy of the midfoot
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Fig1
The fixation construct failed and the patient developed Charcot arthropathy of the midfoot (Fig. 1).
postoperative radiographs showing fusion of left foot medial column joints and the subtalar joint
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Fig2
The procedure was performed in the following sequences 1) Complex hard ware removal (broken implant), 2) Precutaneous Achilles tendon lengthening, 3) Fusion of the 1st metatarsal with the medial cuneiform, 4) Fusion of the medial cuneiform with navicular bone, 5) Fusion of the navicular with the talus, 6) Fusion of the subtalar joint 96(Fig. 2).
Patient's MRI postoperatively of the lumbosacral region demonstrating hyperintense signaling from the right gluteal muscles (white arrows), please notice the difference between it and the normal left gluteal muscles (black arrows)
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Fig3
The MRI did not show a lumbar disc herniation but did reveal increased signal in the gluteal compartment (gluteus maximus, medius, and minimus) on the right side (Fig. 3). 