A Complex Forefoot Malunion in a Patient with Werner’s Syndrome: A Case Report

• Published in: The Journal of foot and ankle surgery Vol. 50; no. 3; pp. 347 - 349
• Main Authors: Cedeno, Orlando, DPM, Klaue, Kaj, MD, PhD, Cohen, Valerie, MS
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2011; Elsevier
• Subjects: Adult; Aging, Premature - pathology; Arthrodesis - methods; autosomal recessive disease; Biological and medical sciences; Diseases of the osteoarticular system; Forefoot, Human - pathology; Forefoot, Human - surgery; Fracture Fixation, Internal - methods; Hallux Valgus - surgery; hallux varus; Humans; Male; Medical sciences; metatarsal shortening osteotomy; metatarsalgia; Orthopedic surgery; Orthopedics; Osteotomy - methods; progeria; Reconstructive Surgical Procedures - methods; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis; scleroderma; surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; tailor’s bunion; Werner Syndrome - surgery; Werner’s syndrome; Wound Healing; metatarsal shortening osteotomy; progeria; wound healing; 4; Werner’s syndrome; scleroderma; metatarsalgia; hallux varus; autosomal recessive disease; surgery; tailor’s bunion; Skin disease; Osteotomy; Diseases of the osteoarticular system; Shortening; Autoimmune disease; Varus; Wound; Dwarfism; Metatarsalgia; Surgery; Progeria; Systemic disease; Metatarsal bone; Scleroderma; Cicatrization; Mal union; Human; Immunopathology; Connective tissue disease; Genetic disease; Case study; Eye disease; Treatment; Werner's syndrome; tailor's bunion; Orthopedics; Werner syndrome
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1053/j.jfas.2011.02.011

Abstract Lower extremity surgical procedures in patients with Werner’s syndrome are uncommon, and for this reason they are rarely reported in the literature. In this report, we present the case of a 39-year-old man with a history of Werner’s syndrome, and a malunited right hallux varus and first ray insufficiency after previous bunionectomy performed 4 years earlier. Further reconstructive surgery involved forefoot osteotomy and arthrodesis with internal fixation, and the patient ultimately healed the soft tissues and bones, despite delayed wound healing.