Equinus Deformity Correction via External Fixation

This 19-year-old male had a motor vehicle accident and suffered femoral and tibial fractures (fractures of the leg bones). After the fractures healed, the patient had equinus contracture, which prevented the foot from being flat on the ground and made it difficult to walk. The patient underwent open release of the ankle joint contracture at another hospital, but this was unsuccessful. This patient underwent gradual Ilizarov distraction of the ankle (i.e., the ankle joint was gradually stretched apart) with simultaneous equinus correction at the International Center for Limb Lengthening. External fixation was used to gradually correct the equinus deformity. A plantigrade or flatfoot position was achieved by the end of treatment. After treatment, the patient was able to walk without difficulty.