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Updated: May 22, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Published on: January 24, 2018

Complications in brief: Osteotomy for lower extremity malalignment.

Loukas Koyonos¹, Nick Slenker, Steven Cohen

¹Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, Philadelphia, PA 19107, USA. loukaskoyonos@gmail.com

Clinical Orthopaedics and Related Research

|May 29, 2012

Summary

Performing osteotomies for lower extremity malalignment can lead to complications like malalignment or fracture. Careful preoperative planning and surgical technique are crucial to avoid poor outcomes and future knee replacement challenges.

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Published on: November 13, 2016

Area of Science:

Orthopedic Surgery
Lower Extremity Reconstruction

Background:

Osteotomies are surgical procedures to correct lower extremity malalignment.
Complications can arise from these procedures, impacting patient outcomes.

Purpose of the Study:

To review potential complications associated with lower extremity osteotomies.
To highlight the importance of preoperative planning and surgical execution.

Main Methods:

Review of potential complications related to osteotomies of the distal femur and proximal tibia.
Analysis of errors occurring preoperatively, intraoperatively, and postoperatively.

Main Results:

Potential complications include iatrogenic malalignment, fracture, vascular injury, and recurrence of deformity.
Patella baja and difficulties with future total knee replacement are also noted risks.
Poor preoperative planning and patient selection can lead to suboptimal functional results.

Conclusions:

Careful consideration of potential complications is essential for successful osteotomy outcomes.
Meticulous preoperative planning and precise surgical technique can mitigate risks associated with lower extremity osteotomies.