PMC7001597_01
Clinical pictures of foot and ankle on presentation: anterior-posterior (AP) (left) and lateral (right) views
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F1
In addition to medial soft tissue contractures and lateral skin tension from chronicity of the deformity, skin atrophy and asteatotic eczema associated with her advanced age made soft tissue a major concern (Fig. 1).
Preoperative plain radiographs: AP (left) and lateral (right) views
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F2
Preoperative CT: frontal (left) and parasagittal (right) planes
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F3
Pseudoarticulations between the calcaneum and tibia had developed with diffuse osteoarthritic changes involving the mid-tarsal joint (Figs 3 and 4).
CT 3D reconstruction: AP (left), lateral (middle), and axial view (right)
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F4
Pseudoarticulations between the calcaneum and tibia had developed with diffuse osteoarthritic changes involving the mid-tarsal joint (Figs 3 and 4).
Clinical pictures of foot and ankle post-operatively with TL-Hex frame
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F5
Gradual correction of the deformity was done by the patient, by turning the struts on her TL-Hex frame daily following a protocol generated by the TL-Hex web-based program (Figs 5 and 6).
Postoperative plain radiographs with TL-Hex frame: AP (left) and lateral (right) views
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F6
Gradual correction of the deformity was done by the patient, by turning the struts on her TL-Hex frame daily following a protocol generated by the TL-Hex web-based program (Figs 5 and 6).
Initial postoperative plain radiographs following arthrodesis, fusion, and fibulectomy: AP (left) and lateral (right) views
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F7
Postoperatively, she was placed in a back-slab and initially started on a nonweight bearing program on crutches with the physiotherapists (Fig. 7).
Plain radiographs 6 month following start of two-stage reconstruction: AP (left) and lateral (right) views
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F8
A final day surgery procedure to remove a prominent distal interlocking screw in the lateral calcaneal tuberosity was performed 5 months following arthrodesis but the patient remained happy with the result (Figs 8 to 10).
Clinical pictures comparing foot and ankle preoperatively (left) and postreconstruction (right)
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F9
A final day surgery procedure to remove a prominent distal interlocking screw in the lateral calcaneal tuberosity was performed 5 months following arthrodesis but the patient remained happy with the result (Figs 8 to 10).
Clinical pictures of reconstructed foot and ankle: lateral (left) and medial (right) views
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F10
A final day surgery procedure to remove a prominent distal interlocking screw in the lateral calcaneal tuberosity was performed 5 months following arthrodesis but the patient remained happy with the result (Figs 8 to 10).