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Single-stage supramalleolar osteotomy for coronal plane deformity.
Alexej Barg1, Charles L Saltzman
1Head Foot and Ankle Surgery, Department of Orthopedic Surgery, University Hospital of Basel, Spitalstrasse 21, 4031, Basel, Switzerland, alexej.barg@usb.ch.
Current Reviews in Musculoskeletal Medicine
|August 15, 2014
Summary
Supramalleolar realignment surgery offers a joint-preserving alternative for ankle osteoarthritis, particularly post-traumatic cases with deformities. This review details its indications, contraindications, and outcomes.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Disorders
Background:
- Ankle osteoarthritis commonly results from trauma, often causing deformities like valgus or varus.
- Joint-preserving surgery is a potential alternative to joint-sacrificing procedures like total ankle replacement or arthrodesis.
Purpose of the Study:
- To review the indications and contraindications for single-stage supramalleolar realignment surgery.
- To highlight complications and postoperative outcomes based on current literature.
Main Methods:
- Literature review of recent studies on supramalleolar realignment surgery.
- Analysis of surgical indications, contraindications, complications, and outcomes.
Main Results:
- Supramalleolar realignment is suitable for specific ankle osteoarthritis cases, preserving the tibiotalar joint.
- Complications and outcomes vary, necessitating careful patient selection.
Conclusions:
- Single-stage supramalleolar realignment is a viable joint-preserving option for select patients with ankle osteoarthritis.
- Understanding contraindications and potential complications is crucial for successful surgical management.
