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Related Experiment Video

Updated: Apr 27, 2026

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

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Distal realignment: indications, technique, and results.

Kyle Duchman1, Matt Bollier1

  • 1Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01008 JPP, Iowa City, IA 52242, USA.

Clinics in Sports Medicine
|July 5, 2014
PubMed
Summary

Distal realignment surgery offers consistent results for knee instability and pain. Careful patient selection and precise surgical planning, considering anatomical factors, are crucial for successful outcomes in patellofemoral conditions.

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Resident Involvement Is Not Associated With Increased Risk of Postoperative Complications After Arthroscopic Knee Surgery: A Propensity-Matched Study.

Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association·2020

Area of Science:

  • Orthopedic Surgery
  • Biomechanical Engineering

Background:

  • Patellofemoral pain and instability are common orthopedic issues.
  • Current treatments aim to improve patellar tracking and reduce pain.

Purpose of the Study:

  • To outline the indications and considerations for distal realignment procedures.
  • To emphasize the importance of anatomical assessment for surgical planning.

Main Methods:

  • Review of clinical indications for distal realignment.
  • Discussion of anatomical variables influencing osteotomy in multiplanar techniques.

Main Results:

  • Distal realignment can yield consistent clinical results when indicated.
  • Successful outcomes depend on accurate identification of instability type and anatomical assessment.
Keywords:
Anterior knee painDistal realignmentPatellar instabilityPatellar trackingPatellofemoral jointTibial tubercle osteotomy

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Conclusions:

  • Distal realignment is a viable option for specific patellofemoral issues.
  • Individualized surgical planning is key to optimizing results for lateral patellofemoral instability and overload.