Related Experiment Video
Updated: Apr 30, 2026
08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
972
Staged reconstruction of a multiplane post-traumatic deformity: a case report
Thomas A Brosky1, Joshua J Mann2, Sean Patrick Dunn1
1Attending Surgeon, Dekalb Medical Residency Program; Faculty, Podiatry Institute, Decatur, GA; and Foot and Ankle Clinic of Oakwood, Oakwood, GA.
Summary
This case report details a complex surgical reconstruction for a severe lower extremity injury resulting in angular malunion. The three-stage procedure successfully restored ankle alignment and foot function, addressing post-traumatic deformity.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomechanics
Background:
- Lower extremity fractures can lead to angular malunion, impairing joint function and foot mechanics.
- Restorative surgical techniques like osteotomy and fusion are employed to correct deformities and achieve a plantigrade foot.
Observation:
- A 17-year-old male presented with a complex post-traumatic deformity of the left lower extremity and foot after a severe crush injury.
- Initial management included surgical correction of a Lisfranc injury and foot fractures, with conservative treatment for distal tibial and fibular fractures.
Findings:
- The patient developed a malaligned valgus ankle with fibular malunion and a collapsing pes planovalgus deformity seven months post-injury.
- A three-stage reconstructive surgery was performed: supramalleolar tibial osteotomy with fibular lengthening, triple arthrodesis with hardware removal, and syndesmosis repair.
Implications:
- This case highlights a unique multi-stage surgical approach for correcting complex multiplanar post-traumatic lower extremity deformities.
- The described technique offers a potential solution for restoring normal mechanics and function in challenging cases of malunion.
