case_images: PMC7608849_01
case_images: Clinical photograph of the lateral ankle wound with gross ankle deformity.
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case_images: Clinical examination revealed an open wound over the lateral aspect of his ankle with gross ankle deformity noted (Fig. 1).
case_images: Anteroposterior and lateral ankle radiographs showing dislocations of the subtalar, calcaneocuboid and naviculocuneiform joints.
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case_images: Post-reduction radiographs revealed dislocations of the calcaneocuboid, naviculocuneiform and subtalar joints (Fig. 2).
case_images: Intraoperative fluoroscopic images showing pre (A) and post (B) reduction of the naviculocuneiform joints. Dorsiflexion and eversion of the foot provided maximum stability.
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case_images: The foot was maintained in dorsiflexion and eversion, a position of maximum stability (Fig. 3).
case_images: Computed tomography scan showing the unstable calcaneocuboid and naviculocuneiform joints, with a partially extruded navicular bone. Fractures of the cuboid and anterior calcaneal process were also defined.
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case_images: The calcaneocuboid, naviculocuneiform and subtalar joints were still identified to be unstable, with partial extrusion of the navicular (Fig. 4).
case_images: 1.6 mm K wires were inserted to reduce the navicular bone and to hold the talonavicular, naviculocuneiform and calcaneocuboid joints in position (A). The navicular bone was then held with a buttress plate spanning the talonaviculocuneiform joints (B).
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case_images: The talonaviculocuneiform joint was reduced and held with a dorsal medial buttress plate, and the calcaneocuboid joint was held with 1.6 mm Kirschner wires (Figs. 5 and 6).
case_images: Immediate post-operative radiographs showing good reduction of the calcaneocuboid and naviculocuneiform joints. The external fixator was left in-situ for additional stability.
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case_images: The talonaviculocuneiform joint was reduced and held with a dorsal medial buttress plate, and the calcaneocuboid joint was held with 1.6 mm Kirschner wires (Figs. 5 and 6).
case_images: Radiographs at 6 weeks (A, B) and 3 months (C, D) post-operatively showing cell-reduced calcaneocuboid and naviculocuneiform joints. The external fixator was removed after 6 weeks and the patient was allowed to bear weight at 10 weeks.
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case_images: Serial radiographs revealed no implant loosening with the naviculocuneiform, calcaneocuboid and subtalar joints well-reduced (Fig. 7).
case_images: Clinical photograph at 4 months showing well-healed wounds.
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case_images: At 4 months, his wounds were completely healed (Fig. 8).