<div dir="ltr"><div class="gmail_extra"><div class="gmail_quote"><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div><div><div>I miss the ankle on orthoroengenogram. </div>
</div></div></blockquote><div>Good day. There is equinus deformity of the foot cause she tries to commensate legs length deficiency (around 4-5 cm) and she walks on forefoot and toes. The dorsiflexion of foot is restricted with 10 degrees of equinus. The foot and ankle are painless. </div>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div><div><div>Arthroscopy? </div></div></div></blockquote><div>Knee arthroscopy? What for? To see severe osteoarthritis? No doubt on x rays.</div>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div><div><div>Double osteotomy?</div></div></div></blockquote><div>And wi will get more abducted extremity </div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div><div><div>Tka later as last option. This is a difficcult one!</div></div></div></blockquote><div>May be the first option? Or one staged osteotomy and TKA?</div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div><div><div>Is a neuralgia an option in presence of such a knee and hip? </div></div></div></blockquote><div>No </div><blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex">
<div><div><div>Are the limbs equal?</div></div></div></blockquote><div>I`m not sure I can measure legs length properly in this case. When she lies prone as she feels comfortable right heel is more proximal for 4-5 cm than left one.</div>
<blockquote class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc solid;padding-left:1ex"><div><div><div>Let us know.</div></div></div></blockquote><div>I will. </div></div><br clear="all"><div><br></div>-- <br>
C уважением, Середа Андрей Петрович.<div>Sereda
Andrey, MD, PhD, orthopaedic surgeon,</div><div>I.M. Sechenov First Moscow State Medical University, Orthopaedic
department, Deputy Director for Science.</div><div><div><font size="1">6, Bolshaya Pirogovskaya street<br>119991, Moscow, Russia</font><div><b><span lang="DA" style="font-size:18.0pt;line-height:115%;font-family:Webdings;color:green">P</span></b><b><span lang="DA" style="font-size:18.0pt;line-height:115%;color:green"> </span></b><i><span style="font-size:10.0pt;line-height:115%;color:green">Пожалуйста, не распечатывайте электронные письма и документы
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