Abstract
Peripheral nerve sheath tumors require extensive resections, usually with sacrifice of the nerve. Tumors originating from the sciatic nerve may lead to one of the most disabling conditions if associated with sacrifice of the nerve. Gait is altered seriously and patients usually require orthotics. The resulting muscle paralysis and imbalance may lead to ankle instability. We present the case of a patient with ankle instability and tibial shortening secondary to sacrifice of the sciatic nerve, who was treated with a combined technique to address both problems simultaneously. Tibia was lengthened proximally with a circular external fixator over intramedullary nail, while the intramedullary nail was used for a pantalar arthrodesis.
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References and Suggested Reading
Eralp L, Kocaoglu M, Yusof NM, Bulbul M (2007) Distal tibial reconstruction with use of a circular external fixator and an intramedullary nail. The combined technique. J Bone Joint Surg Am 89(10):2218–2224. doi:10.2106/JBJS.F.01579, 89/10/2218 [pii]
Kocaoglu M, Eralp L, Kilicoglu O, Burc H, Cakmak M (2004) Complications encountered during lengthening over an intramedullary nail. J Bone Joint Surg Am 86-A(11):2406–2411, 86/11/2406 [pii]
Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res 250:81–104
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© 2015 Springer International Publishing Switzerland
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Eralp, L., Eren, I. (2015). Case 79: Combined Technique for Simultaneous Reconstruction of Ankle Instability and Tibial Lengthening Following Sacrifice of the Sciatic Nerve. In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-18020-5_274
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DOI: https://doi.org/10.1007/978-3-319-18020-5_274
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18019-9
Online ISBN: 978-3-319-18020-5
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