This case involves a forty-two-year old female who suffered from synovitis of the foot. Subsequently, the patient underwent surgical treatment due to several failed attempts to treat the condition with conservative medical management. The surgery was uneventful and proceeded without complication but the patient experienced severe postoperative pain and swelling. Upon ambulation, she experienced significant hind foot pain and her gait was significantly altered compared to her status before the surgery. The surgeon noted in his reports that the patient displayed signs of a varus mal-alignment and that she may need an additional surgery to slide her heel back and close the wedge that had developed. A second opinion was sought and the recommendation by the surgeon was that the patient underwent an unnecessary calcaneal osteotomy which resulted in misalignment of the calcaneus bone and severe chronic pain.
Question(s) For Expert Witness
- Was this procedure indicated given the effect on the patient's gait?