Dan Preece DPM PGY-2
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CC/HPI: 73 yo female, chronic ankle, STJ and
Midfoot pain >5 years. Pt has failed conservative
treatments including ankle bracing and shoegear
changes, joint injections etc.
PMH: significant for long hx of RA with steroid,
anti-rheumatic therapies. No other major health
concerns.
LE Exam: crepitus and pain through ROM of the
ankle, STJ and Midfoot joints.
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A/P: 73 yo female with severe destruction of
the ankle, STJ and midfoot 2/2 RA.
-Pantalar arthrodesis using the Biomet Phoenix
Ankle Fusion IM Nail System .
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2-4 Degrees of calcaneal valgus.
Foot 90 deg to ankle while loaded.
Foot 10-15 degrees abducted in horizontal
plane or matching contralateral side.
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4-6 weeks NWB, 3-4 weeks WB in CAM
walker.