A Case of Osteomyelitis with Pes Equinus Deformity

Abstract

A ten-year-old boy was sustained an extreme contused wound with wide skin loss in his left leg and foot because of a traffic accident in August 1980. When he visited our clinic in April 1981, his foot exhibited a marked Pes equinus deformity accompaied with keloid and fistura. In roentgenograms, a moth-eaten appearance of ankle joint and ankylosis of tarsal bones were observed.
These osteomyelitic changes and Pes equinus deformity were caused by unappropriate primary treatments. It is necessary for his foot deformities to be corrected. Which measure should be taken, such as release operation, arthrodesis, astragalectomy or amputation?