Foot and Ankle Deformities
| Before | After |
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| Before | After |
| Before | After |
Complex foot and ankle deformity can be difficult to treat with conventional surgical approaches. Deformity and instability of the ankle can be seen in Charcot arthropathy, and in other neuropathic conditions. External fixation with acute or gradual correction of deformities can be used to safely treat complex ankle deformity.
Following ankle trauma, infection, or even a failed ankle replacement, there is often significant bone loss around the ankle. We approach these limb salvage situations with ankle reconstruction and simultaneous bone lengthening.
While ankle arthritis is often treated with fusion, we also offer ankle joint preservation surgery using ankle distraction and cell therapy injections.
Congenital deformities of the foot including short toes (brachymetatarsia) can be reconstructed with metatarsal bone lengthening.
Patient Stories
Gabrielle3-part series following Gabrielle's talus replacement and eventual ankle fusion.
SusanSusan's story of recovery from congenital deformity in both feet.
Nancy's Story: I started gymnastics when I was six years old, competed from nine to sixteen years, ran track, was a cheerleader in high school, played USVBA volleyball as a young adult, and became a rock climber at twenty-four. I had the sprains, strains, pulled muscles, bumps and bruises of a typical athlete, but nothing could prepare me for the dramatic accident I had on the cliff.
Ann B.'s Story: You and your wonderful staff have in 18 months transformed my wife Ann from immobile, nearly incapacitated and likely heading for life in a wheelchair; to the super active person she really has been throughout our marriage.
Publications
- Ghasemi SA, Zhang D, Fragomen A, Rozbruch SR. Subtalar distraction arthroplasty with bone marrow aspirate concentrate (BMAC), preliminary results of a new joint preservation technique. Foot Ankle Surg. 2020 Feb 24. pii: S1268-7731(20)30035-7. DOI: 10.1016/j.fas.2020.02.009. [Epub ahead of print]
- Dabash S, Buksbaum JR, Fragomen A, Rozbruch SR. Distraction arthroplasty in osteoarthritis of the foot and ankle. World J Orthop 2020; 11(3): 145-157. DOI: 10.5312/wjo.v11.i3.145
- Stephen Greenfield, Kelsey M Matta, Thomas H McCoy, S Robert Rozbruch, Austin T. Fragomen. Ankle Distraction Arthroplasty for Ankle Osteoarthritis: A Survival Analysis. May-Aug 2019, Vol 14, No 2. DOI: 10.5005/jp-journals-10080-1429
- Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame, Nazzar Tellisi & Jonathan T. Deland, MD& S. Robert Rozbruch, MD, HSS Journal (2011) 7: 85-88
- Does the Taylor Spatial Frame Accurately Correct Tibial Deformities? S. Robert Rozbruch MD, Kira Segal BA, Svetlana Ilizarov MD, Austin T. Fragomen MD, Gabriel Ilizarov MD, Clinical Orthopaedics and Related Research, 2009.
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Distraction of the Ankle for Arthritis by David John India, MD; Arkady Blyakher, MD; Martin J. O'Malley, MD; S. Robert Rozbruch, MD published in Techniques of Foot and Ankle Surgery, December 2003
- Fibula Lengthening Using a modified Ilizarov Method published in Orthopedics, 25:11, November 2002
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Ankle Distraction for Treatment of Ankle Arthritis highlighted in Orthopedics Today September 2007.
- Ankle Distraction (Fragomen / HSS.edu)
- Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame Journal of the Hospital for Special Surgery, March 2008
- Posttraumatic Reconstruction of the Ankle Using the Ilizarov Method published in HSS Journal September 2005 ( Vol 1, number 1, pages 68 - 88)
Animations
Surgical Animation -
Correction of a Varus Deformity of the Tibia with the Taylor Spatial Frame
S. Robert Rozbruch, MD
