Limb Salvage of a Flail Neuropathic Ankle in Congenital Insensitivity to Pain with Anhidrosis Using a Hindfoot Superconstruct

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08 Nov 2026 0 comments

CONCLUSION: Managing a neuropathic flail ankle in the context of CIPA requires meticulous pre-operative planning, a detailed diagnostic workup, and aggressive post-operative management with respect to wound care and rehabilitation. This case demonstrates that hindfoot arthrodesis utilizing a plate-and-screw superconstruct provides the mechanical stability necessary to overcome the biomechanical challenges of CIPA, proving that limb salvage and functional restoration are achievable goals.