Table 2 Procedure data
Patient | Preoperative diagnosis | Procedures | Level of corticotomy and correction parameters | Distraction length (cm) | Result of ankle fusion and foot correction1 | Results of tibial deformity correction2 | Duration of external fixation (months) | Complications |
|---|---|---|---|---|---|---|---|---|
1 | Tibial procurvatum and varum | Tibial osteotomy | Wedged tibial osteotomy at the level of deformity/acute correction | 2.45 | Acceptable | 11.40 | Delayed consolidation of regenerate requiring grafting | |
2 | Tibial procurvatum | Tibial osteotomy | Straight tibial osteotomy at the level of deformity/gradual correction | 0.65 | Excellent | 5.42 | None | |
3 | Failed total ankle replacement | Total ankle explant, TC fusion, DTC | Distal | 1.70 | Excellent | 6.28 | None | |
4 | Tibial procurvatum and varum, post-traumatic ankle arthritis | Tibial osteotomy, TTC fusion | Wedged tibial osteotomy at the level of deformity/acute correction | 1.50 | Excellent | 4.14 | Pin site irritation & late regenerate fracture requiring TTC IM rod | |
5 | Tibial varum | Tibial osteotomy | Wedged tibial osteotomy at the level of deformity/acute correction | 2.20 | Excellent | 5.65 | None | |
6 | Talar AVN | Talectomy, TC fusion, DTC | Distal | 2.00 | Poor | 4.60 | TC infected nonunion | |
7 | Malpositioned TTC fusion | V osteotomy, DTC | Distal | 2.10 | Good | 7.16 | None | |
8 | Tibial procurvatum, intrinsic ankle varus, cavovarus foot | Tibial osteotomy, ankle arthrotomy, gastrocnemius recession, Dwyer | Wedged tibial osteotomy at the level of deformity/acute correction | 0.90 | Acceptable | 3.81 | Cellulitis | |
9 | Tibial recurvatum | Tibial osteotomy | Wedged tibial osteotomy at the level of deformity/acute correction | 2.50 | Acceptable | 4.50 | Neuritis | |
10 | Talar AVN | Talectomy, TC fusion, DTC | Distal | 1.50 | Excellent | 5.32 | Delayed consolidation of regenerate | |
11 | Residual clubfoot | V osteotomy, DTC | Distal | 3.00 | Acceptable | 3.22 | None | |
12 | Residual clubfoot | V osteotomy, DTC | Distal | 2.80 | Acceptable | 3.22 | None | |
13 | Malpositioned hindfoot fusion | Lateral calcaneal slide, DTC | Distal | 2.40 | Excellent | 3.68 | None | |
14 | Malpositioned hindfoot fusion, tibial recurvatum, and varum | Tibial osteotomy | Wedged tibial osteotomy at the level of deformity/acute correction | 4.00 | Good | 3.68 | Wound dehiscence | |
15 | Intrinsic ankle varus | Lateral calcaneal slide, DTC | Distal | 1.40 | Excellent | 3.68 | None | |
16 | Residual clubfoot | V osteotomy, DTC | Distal | 1.60 | Excellent | 3.68 | Pin site irritation | |
17 | Talar AVN | Talectomy, TC fusion, DTC | Distal | 3.20 | Good | 3.91 | Cellulitis | |
18 | Residual clubfoot | V osteotomy, DTC | Distal | 1.80 | Excellent | 3.45 | Wound dehiscence | |
19 | Post-polio equinovarus | V osteotomy, DTC | Distal | 3.00 | Excellent | 4.60 | None | |
Mean ± SD | 2.14 ± 0.83 | 4.81 ± 1.93 |