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Hindfoot Alignment Change after High Tibial Valgization Osteotomy in a Patient with an Ipsilateral Fused Ankle: A Case Report

족관절이 유합되어 있는 상태에서 동측 슬관절 고위경골외반절골술을 시행한 이후 후족부 정렬의 변화: 증례 보고

  • Sung Sahn Lee (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Jin Soo Suh (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Kyeong Woo Park (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Jun Young Choi (Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine)
  • 이성산 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 서진수 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 박경우 (인제대학교 의과대학 일산백병원 정형외과학교실) ;
  • 최준영 (인제대학교 의과대학 일산백병원 정형외과학교실)
  • Received : 2024.04.09
  • Accepted : 2024.05.21
  • Published : 2024.06.15

Abstract

Ankle arthrodesis was performed on a 55-year-old male patient with an active lifestyle who developed severe arthritis in the left ankle. Over the follow-up period, high tibial valgization osteotomy was conducted for painful medial knee joint arthritis with genu varum deformity to correct overall lower limb alignment from varus to valgus with respect to the fused ankle. This study was conducted to investigate how hindfoot alignment would change when the overall alignment of the lower limb shifted from varus to valgus with the ipsilateral ankle in a fused state. Conclusively, while no intrinsic changes in the hindfoot alignment were observed following the alteration of lower limb alignment, the hindfoot naturally adjusted to valgus deviation in response to limb valgus realignment. Moreover, symptoms changed in line with this adjustment. Given the absence of similar case studies or reports, a review of relevant literature is included to contribute to knowledge of this subject.

Keywords

References

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