I have a patient 51 year old male, involved in a motor cycle accident fracturing his shoulder in 2014.
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The surgeon removed the fibula to repair the shoulder and sent the patient on his way.
Whilst the function of his shoulder has been restored his ankle is suffering. He has had poor post op care in regards to his foot. He has never seen a specialist/orthopedic surgeon in regards to his foot.
He presented with a primary symptom of a hypersensitive callus at the medial aspect of his right hallux.
As you can see on weight bearing X-ray his right foot is excessively pronated, and has developed a functional leg length discrepancy. He has poor muscle strength (despite physiotherapy) and has poor muscle control of his ankle.
His right foot, is continually painful with swelling.
Is the only solution for him to have a some sort of metal replacement for the fibula?
Thought the radio graphs may be of interest.
Any advice/experience/comments appreciated
Thanks
Mark
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