[Ortho] ankle deformity

[Dr. A. Liberson]

I would not rely on fathers story completely.
This may be an old dislocation, but I would also concider other 
possibilities. A gradual correction following good neurological and 
CTexamination or one step are the possibilities.
I agree that we have to get p-nts and his family understanding of the 
problems and understanding of each of the processess befor starting the 
tretment.
I myself feel comfortable with gradual Ilizarov in such a case-every other 
technique would be appropriate.
An arthrodesis with later elongation will also do.
Good luck!
----- Original Message ----- 
From: "Emal Wardak" <orthoforum на weborto.net>
To: <ortho на weborto.net>
Sent: Wednesday, January 14, 2009 9:19 PM
Subject: Re: [Ortho] ankle deformity


> Dear Dr. George.
> yes its 100% post traumatic,  there is no neurologic deficit, or any sign 
> of weakness, or infection, the history as father tells, the guy
> had felt from horse and then he was taken to local bone setter at that 
> time, and the ankle was fixed for onemonth, after they opened they saw the 
> foot was facing out side, and the guy started to walk on it, without any 
> pain, they have come from village for two reasons, one cosmetic second he 
> is having slight limping due to around 2cm of true shortening but no pain.
> Emal Wardak
>
>
>
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