Complex foot and ankle deformity can be difficult to treat with conventional surgical approaches. Deformity and instability of the ankle can be seen in Charcot arthropathy, and in other neuropathic conditions. External fixation with acute or gradual correction of deformities can be used to safely treat complex ankle deformity.
Following ankle trauma, infection, or even a failed ankle replacement, there is often significant bone loss around the ankle. We approach these limb salvage situations with ankle reconstruction and simultaneous bone lengthening.
While ankle arthritis is often treated with fusion, we also offer ankle joint preservation surgery using ankle distraction and stem cell injection.
Congenital deformities of the foot including short toes (brachymetatarsia) can be reconstructed with metatarsal bone lengthening.
Patient Stories
- Nancy's Story: I started gymnastics when I was six years old, competed from nine to sixteen years, ran track, was a cheerleader in high school, played USVBA volleyball as a young adult, and became a rock climber at twenty-four. I had the sprains, strains, pulled muscles, bumps and bruises of a typical athlete, but nothing could prepare me for the dramatic accident I had on the cliff.
- Ann B.'s Story: You and your wonderful staff have in 18 months transformed my wife Ann from immobile, nearly incapacitated and likely heading for life in a wheelchair; to the super active person she really has been throughout our marriage.
Publications
- Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame, Nazzar Tellisi & Jonathan T. Deland, MD& S. Robert Rozbruch, MD, HSS Journal (2011) 7: 85-88
- Does the Taylor Spatial Frame Accurately Correct Tibial Deformities? S. Robert Rozbruch MD, Kira Segal BA, Svetlana Ilizarov MD, Austin T. Fragomen MD, Gabriel Ilizarov MD, Clinical Orthopaedics and Related Research, 2009.
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Distraction of the Ankle for Arthritis by David John India, MD; Arkady Blyakher, MD; Martin J. O'Malley, MD; S. Robert Rozbruch, MD published in Techniques of Foot and Ankle Surgery, December 2003
- Fibula Lengthening Using a modified Ilizarov Method published in Orthopedics, 25:11, November 2002
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Rozbruch Ankle Distraction Frame (RAD) (Small Bone Innovations)
- Ankle Distraction for Treatment of Ankle Arthritis highlighted in Orthopedics Today September 2007.
- Ankle Distraction (Fragomen / HSS.edu)
- Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame Journal of the Hospital for Special Surgery, March 2008
- Posttraumatic Reconstruction of the Ankle Using the Ilizarov Method published in HSS Journal September 2005 ( Vol 1, number 1, pages 68 - 88)
Videos and Animations
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Before - Ann developed a neuropathic ankle deformity that made walking and shoewear difficult.
After - Ann now has a stable balanced foot and ankle. She has no pain and functions well.
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View Case #65 |
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play animation
Repair of Stiff Tibial Nonunion with DeformityUsing the Taylor Spatial Frame from Case #20 |
Back to Limb Lengthening and Complex Reconstruction Service
Patient Case Histories
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