Sažetak. Uvod: Liječenje zapuštenih slučajeva posttraumatskog pes equinovarusa u odrasloj dobi veoma je zahtjevno. Radi se o rigidnim deformacijama stražnjeg dijela stopala koje su popraćene uznapredovalim osteoartrotskim promjenama. U korekciji deformiteta potrebna je primjena kombinacije koštanih i mekotkivnih zahvata. Prikaz slučaja: U ovom radu prikazano je liječenje posttraumatskog deformiteta stopala s varusom gležnja od 40o i equinus deformacijom od 120o, te uz nazočnost uznapredovalih artrotskih promjena. Pacijent je liječen primjenom retrogradnog tibiotalokalkanealnog čavla. Zaključak: Primjenom retrogradnog tibiotalokalkanealnog čavla mogu se uspješno korigirati velike, rigidne i kompleksne deformacija stražnjeg dijela stopala, postići brzo koštano preraštanje te umanjiti rizik od nastanka komplikacija u visokorizičnih pacijenata.Ključne riječi: artrodeza; equinovarus; stopalo Abstract. Introduction: Neglected pes equinovarus deformity at the adulthood is difficult to correct. It is usually a rigid deformity associated with arthritic changes of the hindfoot joint. Combined bone and soft tissue procedure is necessary to correct the deformity. Case report: We present a case of acquired severe rigid pes equinovarus in adulthood with varus ankle of 40o and equines deformity of 120o with concomitant degenerative osteoarthritic changes of the ankle joint. The deformity was successfully corrected with use of tiob-talo-calcaneal retrograde nail. Conclusion: The acquired severe complex and rigid deformity of the hind foot in adult could be successfully treated with use of retrograde tibio-talo-calcaneal nailing techniques. With this technique good bone remodeling can be achieved as well as reduction of the risk of complications.
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