Related Experiment Video
Updated: May 14, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Correction of postburn equinus deformity
Gi-Yeun Hur1, Byung-Jun Rhee, Jang-Hyu Ko
1Department of Plastic and Reconstructive Surgery, Hangang Sacred Heart Hospital, Hallym University Medical Center, Seoul, Korea.
Annals of Plastic Surgery
|January 24, 2013
Summary
This study successfully corrected equinus deformity in burn patients using scar release, Achilles lengthening, and free flap reconstruction. The innovative surgical approach restored normal walking ability without recurrence.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Burn Reconstruction
Background:
- Equinus deformity, characterized by abnormal tiptoe gait, significantly impairs walking.
- Causes include congenital neurological conditions and acquired injuries like extensive trauma.
- Postburn equinus deformity presents a reconstructive challenge.
Purpose of the Study:
- To evaluate a single-stage surgical correction for postburn equinus deformity.
- To assess the efficacy of scar release, Achilles lengthening, and radial forearm free flap.
- To determine functional outcomes and recurrence rates.
Main Methods:
- Retrospective study of 15 patients with postburn equinus deformity (2000-2012).
- Analysis of pre- and post-operative equinus degree, ankle range of motion, and activity levels.
- Surgical technique involved scar excision, Achilles lengthening, and radial forearm free flap reconstruction.
Main Results:
- Average pre-operative equinus deformity was 45 degrees.
- All patients achieved a neutral ankle position with an average Achilles lengthening of 4.6 cm.
- Postoperative walking ability improved from poor to good/fair, with no recurrence at an average 3.75-year follow-up.
Conclusions:
- Surgical correction of existing equinus deformity is feasible and effective.
- The combined technique of scar release, Achilles Z-tenoplasty, and radial forearm free flap offers successful reconstruction.
- While prevention is key, this method addresses challenging postburn equinus deformities.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...