J Korean Foot Ankle Soc.  2009 Dec;13(2):118-123.

Analysis of the Deformities of the Foot after Tibial Fracture and Outcome of the Surgical Treatment

• Kim JR
• Kim YS
• Shin SJ
• Kim SR
• Seo KB

Abstract

PURPOSE
We wanted to evaluate the relating factors for deformities of the foot after tibial fracture and the outcome of respective surgical treatment.
MATERIALS AND METHODS
We studied thirty-two patients (thirty-five feet) who had foot deformities after tibia fracture. The age, gender, shape, location, concurrent soft tissue injury and operative treatment of tibial fracture were analysed and outcome of the surgical treatment was investigated.
RESULTS
Deformities of the foot mostly occurred in open fractures of Gustilo type 3 or closed fracture with severe soft tissue injury. Variable surgical treatments such as simple release, lengthening, Z-plasty and osteotomy were performed. The AOFAS ankle-hind foot scale was improved from average of 37.3 points preoperatively to an average of 77.2 points at the last follow up. The Maryland foot score was from 42.9 to 90.2 and AOFAS Lesser Toe Metatarso-phalangeal interphalangeal scale was from 42.9 to 90.5. Radiological correction was also improved from 21.9 degrees to 7.9 degrees (Meary angle), from 112.2 to 138.5 (Hibb's angle) and from 33.8 to 25.9 (Calcaneal pitch).
CONCLUSION
We proposed that great care should be taken of treatment for the tibial fracture and early detection and proper management of the foot deformities are crucial.

Keyword

Tibia fracture; Foot deformity

MeSH Terms

Congenital Abnormalities
Follow-Up Studies
Foot
Foot Deformities
Fractures, Closed
Fractures, Open
Humans
Maryland
Osteotomy
Soft Tissue Injuries
Tibia
Tibial Fractures
Toes