Juvenile Dysplasia Epiphysealis Hemimelica with Multiple Ankle Free Body

Figure 5

Chronological ankle lateral plain radiograph. (a) Postoperative three months after primary surgery, (b) postoperative five months after primary surgery, (c) postoperative one year after primary surgery, and (d) postoperative six months after secondary surgery. (e) Arthroscopic findings during secondary surgery. Gradual growth of a new oval ossified free body in the posterior joint space of his left ankle after primary surgery (yellow arrow) (a–c). No recurrence after secondary surgery after six months postoperatively (d). The cartilage defect due to resection of the protuberance from the talus, which was treated with microfracture technique during primary operation, was covered with healthy cartilage (black arrow).

(a)

(b)

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(d)

(e)