Joint-Preserving Procedures in Patients with Varus Deformity: Role of Supramalleolar Osteotomies.
Lateral closing-wedge supramalleolar osteotomy
Medial opening-wedge supramalleolar osteotomy
Supramalleolar varus deformity
Tibiotalar joint
Varus tibiotalar osteoarthritis
Journal
Foot and ankle clinics
ISSN: 1558-1934
Titre abrégé: Foot Ankle Clin
Pays: United States
ID NLM: 9615073
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
entrez:
1
5
2019
pubmed:
1
5
2019
medline:
8
10
2019
Statut:
ppublish
Résumé
The most common cause for end-stage ankle osteoarthritis is posttraumatic, sometimes resulting from concomitant supramalleolar deformity. Aims of the supramalleolar osteotomy include restoring the lower-leg axis to improve intraarticular load distribution and retarding degeneration of the tibiotalar joint. Preoperative planning is based on conventional weight-bearing radiographs. Often advanced imaging, including computed tomography and/or MRI, is needed for a better understanding of the underlying problem. Postoperative complications are not uncommon, including progression of tibiotalar osteoarthritis in up to 25% within 5 years of all patients who have supramalleolar osteotomies.
Identifiants
pubmed: 31036267
pii: S1083-7515(19)30017-8
doi: 10.1016/j.fcl.2019.02.004
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
239-264Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.