Severe Equinus Deformity

This 51-year-old female was involved in a car accident 30 years ago. The patient had an open fracture of the tibia and fibula (lower leg bones) that healed. However, she still had severe equinus, which prevented her foot from being flat on the ground and made it difficult to walk. She was unable to bend her ankle, and her foot was always in a pointed position. An Ilizarov external fixation device was used to gradually correct the soft tissues. After treatment, a plantigrade (flatfoot) position was achieved. The ankle joint and foot joints were preserved, and she was able to gain approximately 15 degrees of ankle motion. The patient is extremely elated because this 30-year-old equinus foot deformity has been resolved. Now she is able to wear normal shoes and walk with a normal heel-toe gait.