Isolated Talonavicular Arthrodesis as an Option for Severe Rocker Bottom Foot Deformity: A Case Report

Stephanie Stephanie; Jun Young Choi; Abhishek Kumar; Jin Soo Suh

doi:10.14193/jkfas.2015.19.2.69

Journal List > J Korean Foot Ankle Soc > v.19(2) > 1043374

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Stephanie, Choi, Kumar, and Suh: Isolated Talonavicular Arthrodesis as an Option for Severe Rocker Bottom Foot Deformity: A Case Report

Case Report

J Korean Foot Ankle Soc 2015;19(2):69-72.

Published online: 19 June 2015

DOI: https://doi.org/10.14193/jkfas.2015.19.2.69

Isolated Talonavicular Arthrodesis as an Option for Severe Rocker Bottom Foot Deformity: A Case Report

Stephanie Stephanie^*, Jun Young Choi, Abhishek Kumar, Jin Soo Suh

Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea

^*Department of Surgery, Howard University College of Medicine, Washington, DC, USA

Corresponding Author: Jin Soo Suh Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang 411-706, Korea Tel: 82-31-910-7968, Fax: 82-31-910-7967, E-mail: sjs0506@paik.ac.kr

Received 24 February 201522 April 2015 Accepted 22 April 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We report on a case of post-burn contracture and right foot deformity in a 37-year-old female who underwent two surgical interventions at the age of seven years. The patient remained well without any associated problems until she presented to our hospital at the age of 37 years with severe pain and right foot deformity. A few treatment modalities have been reported, and amputation has been suggested as the best approach. However, our patient was treated with a talonavicular arthrodesis and a soft tissue procedure, which resulted in a stable, plantigrade, and pain-free foot with an unsupported, bipedal gait.

Keywords: Rocker bottom foot, Arthrodesis, Foot deformities

REFERENCES

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Figure 1.

Burn scar over extensor digitorum longus tendon (arrow).

Figure 2.

Anterolateral scar over ankle.

Figure 3.

Radiologic examinations revealed a talo-first metatarsal angle to be 75^° on weight bearing anteroposterior view (A) and 60^° on lateral view (B).

Figure 4.

Scanogram showed a shortening of 3.5 cm of the right lower limb.

Figure 5.

Postoperative radiographs showed talonavicular arthrodesis state with two cannulated screws. Anteroposterior (A), lateral (B), and hindfoot (C) alignment view on standing.

Figure 6.

The patient obtained a plantigrade foot and was able to walk pain free without any support at three months postoperatively.

Figure 7.

Radiologic assessment of the anteroposterior (AP) talo-first metatarsal angle revealed 38^° (A) on AP view with hindfoot valgus (B) and 12^° on lateral view, while the calcaneal pitch angle measured -9.6^° (C).

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