History provided for this patient is minimal and inadequate. My guess is that this patient has developed Equinus deformity post limb lenghthening procedure and is likely to benifit from Z-plasty and lenghthening of TA.
However this is only a tentative plan and I will need to examine the patient before surgical treatment is finalised.
We should also request the patient/HCA to send us more information /discharge summary from previous surgery/clinical pictures the patient.
Dr Jayant Arora
MS(Ortho), DNB(Ortho), MRCS(Edinburgh)
Fellowship in Joint Replacement and Arthroscopic Surgery, Newcastle, UK
Senior Consultant Orthopedics and Joint Replacement Surgeon
Columbia Asia Hospital