Fwd: EQUINOCAVUS DEFORMITY FOOT
CHERRY KOVOOR
From: CHERRY KOVOOR <kovo...@gmail.com>
Date: Mon, Jan 30, 2012 at 4:37 PM
Subject: EQUINOCAVUS DEFORMITY FOOT
To: indi...@googlegroups.com
Dear Friends
Kindly advice what is to be done and my experience with Polio is rather limited nowadays as the number of cases we seen are very few
33 yr old case of post polio residual paralysis.
[L] ankle and foot equniocavovarus deformity. 3 cm shortening
Fixed deformity
Muscle power- quadriceps Grade V, Ankle dorsiflexors- Grade 0[ could not see acting tibialis anterior], Plantar flexors Grade V
EHL and EDL grade IV and Tib post and peroneals Grade III
What is to be done- he would like to walk better- [ pt has come now this late due to financial reasons].
My plan is either do a soft tissue release and followed by distraction with ring fixator and triple fusion OR a Lambrinudi procedure along with IP joint big toe fusion and Jones transfer of EHL
Attaching clin pics and x-rays
Gait pic at http://youtu.be/SkFTr9S9d1k
Kindly advice
Yours sincerely
DR C CHERIYAN KOVOOR
KOCHI
INDIA
