Kindly give your suggestions
60 yr old man- case of post polio residual paralysis R lower limb
In 1997 had lengthening with Ilizarov ring fixator-unfortunately valgus and external rotation deformity at proximal tibia with ? pre existing equinus ankle with almost ankylosed ankle Now there is no limb length discrepancy.
My plan is valgus correction with lengthening using that gap for de rotation and then compress corticotomy. My question is regarding the equinus deformity- considering the degenerated and ? ankylosed ankle should I do an ankle fusion or do a supra malleolar osteotomy and bend the osteotomy gradually into recurvatum?
Attaching x-rays and clinical pics
With kind regards
DR C CHERIYAN KOVOOR