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A 65-year-old female developed a right foot deformity 3 years ago following a cerebrovascular accident. She initially underwent early intervention with physical therapy and splinting. However, passively correctable contractures persist and the braces are causing skin problems on the leg. What is the most likely foot and ankle deformity in this patient and the most appropriate surgical treatment to be combined with a planned tendoachilles lengthening (TAL)?
Spastic equinovarus and split anterior tibialis tendon transfer (SPLATT)
Flaccid equinovarus and medializing calcaneal ostetomy and flexor hallucis longus transfer
Spastic calcaneovalgus and split anterior tibialis tendon transfer (SPLATT)
Flaccid equinovalgus and split anterior tibialis tendon transfer (SPLATT)
Spastic equinovalgus and medializing calcaneal ostetomy and flexor hallucis longus transfer
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I am 52 years old . I had history of ankle twicted trauma in past now i h...
HPI - at the first time pev and then post op pes cavus
The patient is a 4.5 years old male who presents with a postoperative cavus deformity.
Four years ago by report he presented with a pes deformity that was treated with ponseti casting 5 times. This was followed by a posteromedial release when he was in sixth month old.
Now he presents a very rigid foot with pes cavus .
we talk about right foot.
What do you think was the reason the patient presented with Pes Planovalgus that was treated with surgery 4 years ago?