case_images: PMC6588141_01
case_images: Pre-operative clinical picture showing gross deformity of the left foot.
case_images: JOCR-9-85-g001.jpg
case_images: PMC6588141_01_JOCR-9-85-g001.jpg
case_images: F1
case_images: She presented with pain and callosities on the lateral border of the feet and was unable to fit the left foot into regular shoes (Fig. 1).
case_images: Pre-operative standing anteroposterior X-rays.
case_images: JOCR-9-85-g002.jpg
case_images: PMC6588141_01_JOCR-9-85-g002.jpg
case_images: F2
case_images: The rigid equinocavovarus deformity on the left was visibly worse with forefoot adduction and pronation (Fig. 2), resulting in weight bearing only on the dorsolateral surface of the foot.
case_images: Pre-operative left ankle lateral X-ray showing flattop talus.
case_images: JOCR-9-85-g003.jpg
case_images: PMC6588141_01_JOCR-9-85-g003.jpg
case_images: F3
case_images: Of note was the presence of a flat-top talus on the left foot (Fig. 3), indicative of abnormal growth of the talus.
case_images: Radiograph showing the right foot after hexapod frame application using a TrueLok-Hex Frame  (a) and a photo image of the left foot during fixation treatment using a TaylorSpatial Frame  (b).
case_images: JOCR-9-85-g004.jpg
case_images: PMC6588141_01_JOCR-9-85-g004.jpg
case_images: F4
case_images: Taylor Spatial Frame (Fig. 4). The right foot was treated in a similar fashion using a TrueLok-Hex Frame (Orthofix Verona, Italy) (Fig. 4). The procedures were combined with triple arthrodesis, and reduction and union were achieved using distraction osteogenesis.
case_images: Lateral X-ray of the left (a) and right (b) foot 12 months after removal of external fixator showing union of the triple arthrodesis.
case_images: JOCR-9-85-g005.jpg
case_images: PMC6588141_01_JOCR-9-85-g005.jpg
case_images: F5
case_images: On the right, a residual equinus deformity of 20  remained (Fig. 5)shows a united triple arthrodesis on the left and right.
case_images: Side view of both feet showing clinically plantigrade feet post-correction.
case_images: JOCR-9-85-g006.jpg
case_images: PMC6588141_01_JOCR-9-85-g006.jpg
case_images: F6
case_images: Fig. 6 and 7show the correction achieved clinically.
case_images: Front view of both feet showing clinically plantigrade feet post-correction.
case_images: JOCR-9-85-g007.jpg
case_images: PMC6588141_01_JOCR-9-85-g007.jpg
case_images: F7
case_images: Fig. 6 and 7show the correction achieved clinically.