One-stage correction of combined hindfoot, forefoot, and knee deformities: Joint preserving surgery

Abstract

Combined angular deformities of the knee and foot are challenging clinical presentations for the orthopedic surgeon. We describe a surgical technique used in a 58-year-old man diagnosed with genu varum associated with progressive collapsing foot deformity and severe hallux valgus. The surgical team and the patient decided to perform a one-stage correction of all deformities. The procedure included corrective osteotomies with bone grafting and soft tissue reconstruction. The varus knee, hindfoot valgus, and hallux valgus were properly corrected intraoperatively with the surgical techniques described here. Satisfactory functional outcomes and excellent maintenance of the realignment were achieved at short-term follow-up. Level of Evidence V; Therapeutic Studies; Expert Opinion.