KMID : 1130920110150020086
|
|
Journal of Korean Foot and Ankle Society 2011 Volume.15 No. 2 p.86 ~ p.91
|
|
Two Staged Surgical Treatment of Post-Traumatic Severe Ankle Equinus Deformity - Preliminary Report -
|
|
Kim Jung-Ho
Lee Jun-Young Ha Sang-Ho You Jae-Won Lee Sang-Hong Na Woong-chae
|
|
Abstract
|
|
|
Purpose:To evaluate the effectiveness as well as correct the post-traumatic severe ankle equinus deformity by conducting the treatment surgery, which is divided into 2 stages, soft tissue adhesiolysis and ankle arthrodesis.
Materials and Methods: We have conducted the methods, which are Z-plasty Achilles tendon lengthening, multiple capsulotomy and tendon lengthening (flexor hallucis longus muscle, flexor digitorum longus, posterior tibialis tendon) for 10 patients who has shown equinus deformity after post-traumatic compartment syndrome due to the injury. The average age of patients was 33.7 year-old; there were 8 men and 2 women, and the follow up period was 13 months (6~31 mon). Outcomes were rated based on American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Visual Analogue Scale (VAS) and patient¡¯s satisfaction after operation.
Results: The average degree of preoperative equinus deformity was 64 degree (-60~-70), and we¡¯ve obtained AOFAS anklehindfoot score that was evaluated after 4 months of 2nd operation which was 76.7 score on average. We¡¯ve also checked the decreased pain score from all of the patients according to the fact that the average VAS before the surgery was 6 (4~8), but it reduced to 3 (1~4). The patient¡¯s satisfaction showed generally great satisfactions which was 5 cases were excellent, 2 cases were good, and 3 cases were fair.
Conclusion: The two staged surgical treatment of post -traumatic severe ankle equinus deformity, which was conducted of soft tissue adhesiolysis and arthrodesis, could be one of the effective methods to improve patients walking ability.
|
|
KEYWORD
|
|
Equinus deformity, Trauma, Two staged surgical treatment
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|