Claw Toe Deformity After Revision Hip Arthroscopy with Concomitant Periacetabular Osteotomy

Author:

Wilson Holly1ORCID,Kollmorgen Robert2ORCID

Affiliation:

1. College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah

2. Department of Orthopaedic Surgery, University of California San Francisco-Fresno, Fresno, California

Abstract

Case: A 22-year-old woman underwent revision right hip arthroscopy (HA) with concomitant periacetabular osteotomy (PAO). The total procedure time was 5.5 hours. After completion of the 3 hour HA portion, the traction boots were loosened. Eleven weeks postoperatively, she developed a left claw toe deformity. After failed conservative management, she underwent lengthening of the left flexor hallucis longus and flexor digitorum longus tendons. Conclusion: This is a case of a claw toe deformity after revision right HA with concomitant PAO. The possibility of this complication should be considered in cases with prolonged intraoperative times because of the use of traction boots.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Orthopedics and Sports Medicine,Surgery

Reference8 articles.

1. Traction-related problems after hip arthroscopy;Frandsen;J Hip Preserv Surg.,2017

2. Vascular obstruction at the level of the ankle joint as a complication of hip arthroscopy;Said;Arthroscopy.,2011

3. Selective lengthening of the proximal flexor tendon in the management of acquired claw toes;Feeney;J Bone Joint Surg Br.,2001

4. Single table concomitant post-less hip arthroscopy combined with periacetabular osteotomy for hip dysplasia;Woyski;Arthrosc Tech.,2019

5. Complications in hip arthroscopy;Nakano;Muscle Ligaments Tendons J.,2019

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