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This 50 yo male was referred from another facility a couple hours away. 30 years ago he sustained shotgun blast to the leg. He went to the Detroit trauma center, and with free flaps, external fixation (6+ months), extensive inpatient care, and an ankle fusion he was able to salvage his leg, and ankle with a little stiffness, and jewelry to show off.
He came to us with painful STJ motion, and a lack there of.
Really straight forward case with the exception of going medial to stay out of his flaps laterally.
This worked well thankfully, and thus far his skin is healing beautifully.
Assistant Surgeon: Dr. William McGlone, DPM, PGY-IV
Extremity Medical Hardware, and graft used. I am a paid consultant....
Same story as always - 39 yo male falls off roof. Healthy aside from being a 1 PPD smoker, and having lifetime GI issues. We used sinus tarsi approach as always.
Lateral on bean bag
Dissect to joint
Manual retraction only - Peroneals inferiorly
Identify impacted facet
Schanz pin through calc in tuber
Cob on lateral wall to allow plate
Install ST plate
Lots of Mini C Arm
Close with - Return of the Mack playing...