Foot and Ankle Deformities
Complex foot and ankle deformity can be difficult to treat with conventional surgical approaches. Deformity and instability of the ankle can be seen in Charcot arthropathy, and in other neuropathic conditions. External fixation with acute or gradual correction of deformities can be used to safely treat complex ankle deformity.
Following ankle trauma, infection, or even a failed ankle replacement, there is often significant bone loss around the ankle. We approach these limb salvage situations with ankle reconstruction and simultaneous bone lengthening.
While ankle arthritis is often treated with fusion, we also offer ankle joint preservation surgery using ankle distraction and cell therapy injections.
Congenital deformities of the foot including short toes (brachymetatarsia) can be reconstructed with metatarsal bone lengthening.
Before and after
Before and after
Before and after
Patient Cases, Stories & Educational Media
- Case 20: Repair of Tibia Nonunion with Deformity
- Case 36: Ankle Distraction for Arthritis and AVN of Talus
- Case 51: Foot Deformity Correction
- Case 53: Correction of Valgus Deformity with Knee Replacement, Tibial Osteotomy, and Ankle Fusion
- Case 56: Ankle Fusion and Simultaneous Lengthening of Tibia
- Case 57: Treatment of Foot and Ankle Deformity with Gradual Correction and Ankle Fusion
- Case 59: Joint Salvage Reconstruction of Ankle with Osteotomy and Distraction
- Case 70: Bilateral metatarsal lengthening and tibial deformity corrections
- Case 85: Update on Ankle Preservation Using Distraction Arthroplasty
- Case 89: Subtalar Distraction for Treatment of Subtalar Joint Arthritis
- Case 93: Ankle Arthritis: When to Distract, Fuse or Replace
- Ghasemi SA, Zhang D, Fragomen A, Rozbruch SR. Subtalar distraction arthroplasty with bone marrow aspirate concentrate (BMAC), preliminary results of a new joint preservation technique. Foot Ankle Surg. 2020 Feb 24. pii: S1268-7731(20)30035-7. DOI: 10.1016/j.fas.2020.02.009. [Epub ahead of print]
- Dabash S, Buksbaum JR, Fragomen A, Rozbruch SR. Distraction arthroplasty in osteoarthritis of the foot and ankle. World J Orthop 2020; 11(3): 145-157. DOI: 10.5312/wjo.v11.i3.145
- Stephen Greenfield, Kelsey M Matta, Thomas H McCoy, S Robert Rozbruch, Austin T. Fragomen. Ankle Distraction Arthroplasty for Ankle Osteoarthritis: A Survival Analysis. May-Aug 2019, Vol 14, No 2. DOI: 10.5005/jp-journals-10080-1429
- Gradual Reduction of Chronic Fracture Dislocation of the Ankle Using Ilizarov/Taylor Spatial Frame, Nazzar Tellisi & Jonathan T. Deland, MD& S. Robert Rozbruch, MD, HSS Journal (2011) 7: 85-88
- Does the Taylor Spatial Frame Accurately Correct Tibial Deformities? S. Robert Rozbruch MD, Kira Segal BA, Svetlana Ilizarov MD, Austin T. Fragomen MD, Gabriel Ilizarov MD, Clinical Orthopaedics and Related Research, 2009.
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Distraction of the Ankle for Arthritis by David John India, MD; Arkady Blyakher, MD; Martin J. O'Malley, MD; S. Robert Rozbruch, MD published in Techniques of Foot and Ankle Surgery, December 2003
- Fibula Lengthening Using a modified Ilizarov Method published in Orthopedics, 25:11, November 2002
- Joint Preservation of the Osteoarthritic Ankle Using Distraction Arthroplasty - Nazzar Tellisi, MD; Austin T. Fragomen, MD; Dawn Kleinman, BS; Martin J. O'Malley, MD; S. Robert Rozbruch, MD
- Ankle Distraction for Treatment of Ankle Arthritis highlighted in Orthopedics Today September 2007.
- Ankle Distraction (Fragomen / HSS.edu)
- Limb Salvage Reconstruction of the Ankle with Fusion and Simultaneous Tibial Lengthening Using the Ilizarov/Taylor Spatial Frame Journal of the Hospital for Special Surgery, March 2008
- Posttraumatic Reconstruction of the Ankle Using the Ilizarov Method published in HSS Journal September 2005 ( Vol 1, number 1, pages 68 - 88)

Surgical Animation, S. Robert Rozbruch, MD