Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis

Allen Kadado, Noel Osereimen Akioyamen, Rachel Garfinkel, Nickolas Nahm, Ferras Zeni

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish (US)
Article numberD-21-00116
JournalJournal of the American Academy of Orthopaedic Surgeons Global Research and Reviews
Volume6
Issue number4
DOIs
StatePublished - Apr 7 2022
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine

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