Dan Preece DPM PGY-2

CC/HPI: 73 yo female, chronic ankle, STJ and Midfoot pain >5 years. Pt has failed conservative treatments including ankle bracing and shoegear changes, joint injections etc.

PMH: significant for long hx of RA with steroid, anti-rheumatic therapies. No other major health concerns.

LE Exam: crepitus and pain through ROM of the ankle, STJ and Midfoot joints.

A/P: 73 yo female with severe destruction of the ankle, STJ and midfoot 2/2 RA.

-Pantalar arthrodesis using the Biomet Phoenix Ankle Fusion IM Nail System .

2-4 Degrees of calcaneal valgus. Foot 90 deg to ankle while loaded. Foot 10-15 degrees abducted in

horizontal plane or matching contralateral side.

4-6 weeks NWB, 3-4 weeks WB in CAM walker.