Donor-Site Complication of Severe Valgus Ankle Deformity in an Adult With Ehlers-Danlos Syndrome Following Free Vascularized Fibular Grafting.

ankle joint arthrodesis ankle valgus deformity ehlers danlos syndrome free fibula graft free vascularized graft joint hypermobility syndrome syndesmotic screws

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Jul 2023
Historique:
accepted: 24 07 2023
medline: 25 8 2023
pubmed: 25 8 2023
entrez: 25 8 2023
Statut: epublish

Résumé

Valgus deformity of the ankle joint is a well-known and relatively common donor-site complication of free vascularized fibular graft harvest in children. Due to children having naturally greater ligamentous laxity than adults, the tibiofibular syndesmosis can be compromised with the loss of the fibular shaft, leading to valgus ankle deformity (VAD). Syndesmotic stabilization with screws is commonly recommended in subsets of pediatric patients at the greatest risk of this complication. In adults, the occurrence of VAD is seldom reported in the literature following fibular graft harvest. As such, no recommendation for syndesmotic stabilization exists in the adult population. We present a case of end-stage VAD in an adult patient with Ehlers-Danlos syndrome (EDS) following free vascularized fibular graft harvest. We hypothesize that other patients with generalized joint hypermobility may face the same complication and, thus, recommend the consideration of syndesmotic stabilization or primary syndesmotic fusion at the time of graft harvest in this patient population.

Identifiants

pubmed: 37621815
doi: 10.7759/cureus.42397
pmc: PMC10446786
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e42397

Informations de copyright

Copyright © 2023, Lipari et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Melissa L Lipari (ML)

Podiatry, Legacy Health, Portland, USA.

Steven E Laxson (SE)

Podiatry, Kaiser Permanente, Portland, USA.

Classifications MeSH