Description of patient (type of occupation, indication of age, intensity of sport):
Young, patient 36 years old, very active, polio sequellae left but minor, did body pump until his injury few months ago. Since then crutches.
History and previous treatment:
End of last year injury to ankle with diagnosis of medial OC talar lesion treated with arthroscopy and drilling.
Continuous pain medially in ankle, swelling, needs crutches to walk.
Slightly swollen ankle, painful medial deep, ROM 20/0/20, weightbearing very difficult due to pain, good alignment lower legs, varus heel alignment.
Additional investigation (CT/MRI):
Medial talar OC lesion post drilling with heel varus due to polio with minor neurologic implications.
Question(s) to this case:
Slide osteotomy calcaneus, to combine with distal tibia?
I miss the AP standing X-Ray. I would advise a CT to see if there are other reasons for the pain (loose bodies etc). Then probably lateralizing sliding calcaneal osteotomy 7.5-10 mm.