ArticleCureus2025
Limb Salvage With Single-Stage Bilateral Pantalar Arthrodesis for Severe Equinovarus in Parkinson's Disease: A Case Report.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fixed bilateral equinovarus deformities are uncommon and difficult to manage, particularly in patients with neurodegenerative disorders affecting lower extremity neuromuscular function and gait, such as Parkinson's disease. The purpose of this case report is to present the surgical correction and functional outcomes of a patient with severe, fixed bilateral equinovarus deformities treated with single-stage bilateral pantalar arthrodesis using intramedullary (IM) nail fixation. A 75-year-old man with a history of Parkinson's disease and lumbar spine compression fractures presented with progressing bilateral equinovarus deformity resulting in loss of ambulation. After failing conservative treatment, the patient underwent a single-staged bilateral pantalar arthrodesis. Surgical intervention involved soft tissue releases, osteotomies, and arthrodesis using an IM nail. Postoperative care included non-weight-bearing, pain management, wound care, physical therapy, and custom bracing. Patient outcomes were assessed using the Visual Analog Scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) Hindfoot scores, functional capacity, and gait analysis. The patient progressed from non-ambulatory status to walking with double-upright metal AFO braces. VAS pain score improved from 6/10 preoperatively to 3/10 postoperatively. AOFAS Hindfoot scores increased from 0/100 preoperatively to 49/100 nine months postoperatively, with improvement across pain, function, and alignment domains. Single-stage bilateral pantalar arthrodesis with IM nail fixation is a viable surgical option for patients with severe, fixed equinovarus deformities, especially when conservative measures fail. This technique provides durable correction, pain relief, and functional improvement, despite the inherent risk associated with extensive soft tissue releases and osseous corrections in a bilateral case. Careful patient selection and close postoperative monitoring are essential to achieving successful outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.