{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:22:29Z","timestamp":1783506149031,"version":"3.55.0"},"reference-count":14,"publisher":"MDPI AG","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Am Podiatr Med Assoc"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p>Limb-length discrepancy is a very common condition. A severe debilitating forefoot deformity resulting from a post-traumatic limb length discrepancy is quite rare. This case study discusses the surgical reconstruction of a forefoot deformity of a 64-year-old male following a post-traumatic limb-length discrepancy from a motor vehicle accident that caused compensatory biomechanical changes in the unaffected lower extremity. These changes resulted in a severe hallux abducto valgus deformity with subluxated metatarsophalangeal joints of the second and third digits, leaving the patient with a severe symptomatic forefoot deformity that closely mimics the radiographic appearance of a rheumatoid forefoot. The forefoot deformity was corrected using the Mckeever and Hoffman procedures with Kirschner-wire fixation. Seven months following the corrective procedures, the patient was able to obtain an asymptomatic plantigrade foot and can now wear regular footwear. (J Am Podiatr Med Assoc 102(4): 324\u2013329, 2012)<\/jats:p>","DOI":"10.7547\/1020324","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T09:44:28Z","timestamp":1396345468000},"page":"324-329","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Reconstruction of Severe Forefoot Derangement in a Patient with Traumatically Acquired Contralateral Limb-length Discrepancy"],"prefix":"10.3390","volume":"102","author":[{"given":"Alexander","family":"Bonner","sequence":"first","affiliation":[{"name":"Doctor\u2019s Hospital, Coral Gables, Florida. Dr. Patel is now with the Department of Podiatry, St. Vincent\u2019s Medical Center, Jacksonville, Florida. Dr. Chi is now with the Department of Podiatry, Palmetto General Hospital, Hialeah, Florida. Dr. Bhikha is now with the Department of Podiatry, Inova Fairfax Hospital, Falls Church, Virginia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlton C.","family":"Cranford","sequence":"additional","affiliation":[{"name":"Department of Podiatry, Ochsner Medical Center, New Orleans, Louisiana."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Patel","sequence":"additional","affiliation":[{"name":"Doctor\u2019s Hospital, Coral Gables, Florida. Dr. Patel is now with the Department of Podiatry, St. Vincent\u2019s Medical Center, Jacksonville, Florida. Dr. Chi is now with the Department of Podiatry, Palmetto General Hospital, Hialeah, Florida. Dr. Bhikha is now with the Department of Podiatry, Inova Fairfax Hospital, Falls Church, Virginia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Chi","sequence":"additional","affiliation":[{"name":"Doctor\u2019s Hospital, Coral Gables, Florida. Dr. Patel is now with the Department of Podiatry, St. Vincent\u2019s Medical Center, Jacksonville, Florida. Dr. Chi is now with the Department of Podiatry, Palmetto General Hospital, Hialeah, Florida. Dr. Bhikha is now with the Department of Podiatry, Inova Fairfax Hospital, Falls Church, Virginia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shamir","family":"Bhikha","sequence":"additional","affiliation":[{"name":"Doctor\u2019s Hospital, Coral Gables, Florida. Dr. Patel is now with the Department of Podiatry, St. Vincent\u2019s Medical Center, Jacksonville, Florida. Dr. Chi is now with the Department of Podiatry, Palmetto General Hospital, Hialeah, Florida. Dr. Bhikha is now with the Department of Podiatry, Inova Fairfax Hospital, Falls Church, Virginia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"b1-1020324","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"907","DOI":"10.2106\/00004623-200106000-00013","article-title":"Effects of limb-length discrepancy on gait economy and lower-extremity muscle activity in older adults.","volume":"83","author":"Gurney, B","year":"2001","unstructured":"Gurney, B, CMermier, RRobergs, et al. :Effects of limb-length discrepancy on gait economy and lower-extremity muscle activity in older adults. .J Bone Joint Surg Am83::907. ,2001. .10.2106\/00004623-200106000-0001311407800"},{"key":"b2-1020324","series-title":"J South Orthop Assoc","first-page":"73","article-title":"Management of leg length inequality.","volume":"10","author":"McCaarthy, JJ","year":"2001","unstructured":"McCaarthy, JJ and GDMacEwen. :Management of leg length inequality. .J South Orthop Assoc10::73. ,2001. ."},{"issue":"Sept","key":"b3-1020324","series-title":"Podiatr Manag","first-page":"148","article-title":"Evaluation and management of leg-length discrepancy.","author":"Caselli, MA","year":"2006","unstructured":"Caselli, MA\n          . :Evaluation and management of leg-length discrepancy. .Podiatr Manag  (Sept:):148. ,2006. ."},{"key":"b4-1020324","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"129","DOI":"10.2106\/00004623-195234010-00013","article-title":"Arthrodesis of the first metatarsophalangeal joint for hallux valgus, hallux rigidus, and metatarsus primus varus.","volume":"34","author":"Mckeever, D","year":"1952","unstructured":"Mckeever, D\n          . :Arthrodesis of the first metatarsophalangeal joint for hallux valgus, hallux rigidus, and metatarsus primus varus. .J Bone Joint Surg Am34::129. ,1952. .10.2106\/00004623-195234010-0001314907794"},{"key":"b5-1020324","series-title":"Am J Orthop Surg","first-page":"441","article-title":"An operation for severe grades of contracted or clawed toes.","volume":"9","author":"Hoffman, P","year":"1912","unstructured":"Hoffman, P\n          . :An operation for severe grades of contracted or clawed toes. .Am J Orthop Surg9::441. ,1912. ."},{"key":"b6-1020324","series-title":"Spine","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1097\/00007632-198109000-00014","article-title":"Low-back pain associated with leg length inequality.","volume":"6","author":"Giles, LG","year":"1981","unstructured":"Giles, LG and JRTaylor. :Low-back pain associated with leg length inequality. .Spine6::510. ,1981. .645810110.1097\/00007632-198109000-00014"},{"key":"b7-1020324","series-title":"J Sports Med Phys Fitness","first-page":"485","article-title":"Leg length asymmetry in stress fractures. 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