1. Case Presentation
Dan Preece DPM PGY-2

2. Case Study:
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.

4. Case Study:
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 .

6. Goals: 2-4 Degrees of calcaneal valgus.
Foot 90 deg to ankle while loaded.
Foot degrees abducted in horizontal plane or matching contralateral side.

31. Post Op:
4-6 weeks NWB, 3-4 weeks WB in CAM walker.