intramedullary nail and/ or external fixation have been described as options for deformities such as the one seen in our patient (13-14).
Then, the patient was placed in prone position and a hindfoot
endoscopy (16, 17) was performed to resect the talar spur (Figures 4 and 5) and tenosynovectomy; the duration was 22 minutes.
Russell, "Clinical relevance of hindfoot
alignment view in total ankle replacement," Foot & Ankle International,vol.
The anatomy of the cuboid is complex, with six articular surfaces' involvement in all of the intrinsic movements of the midfoot and hindfoot
(16) Assessment of hindfoot
malalignment, joint flexibility and laxity is also recom-mended.
In the Dimeglio/Bensahel (20,21) scoring system, the components of dorsiflexion, hindfoot
varus, midfoot rotation, and forefoot adduction are scored from 0 to 4.
(10) However, all these studies focused on procedures targeting deformities at the midfoot or hindfoot
. At first, some concerns restrained us from performing internal pedal amputation.
Yoon, "Femoral and sciatic nerve block for hindfoot
and ankle surgery," Journal of Orthopaedic Science, vol.
and forefoot stiff foot prostheses .
Mosca, "Calcaneal lengthening for valgus deformity of the hindfoot
. Results in children who had severe, symptomatic flatfoot and skewfoot," The Journal of Bone & Joint Surgery, vol.
The areas were defined according to the following: (a) the forefoot (the metatarsal heads and the toes) and (b) the hindfoot
(the calcaneus region, the distal third of the foot).
arthrodesis for management of bone loss following calcaneus fractures and nonunions.