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

Varun Chopra1, Paul Stone1, Alan Ng1

  • 1PMSR/RRA, Highlands/Presbyterian St. Luke's Podiatric Surgical Residency Program, 1719 East 19th Avenue, Denver, CO 80218, USA.

Clinics in Podiatric Medicine and Surgery
|September 5, 2017
PubMed
Summary
This summary is machine-generated.

Distal tibial malalignment can cause ankle arthritis. Joint-sparing supramalleolar osteotomy realigns the tibia, improving function and relieving pain, offering an alternative to fusion or replacement.

Keywords:
Ankle arthritisAnkle realignmentAsymmetric ankle arthritisSupramalleolar osteotomyVarus ankle or valgus ankle

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Area of Science:

  • Orthopedic surgery
  • Biomechanics
  • Ankle joint reconstruction

Background:

  • Distal tibial malalignment, stemming from trauma, growth disturbances, or arthritis, disrupts joint load distribution.
  • This altered biomechanics can precipitate premature ankle joint arthritis.
  • Ankle fusion or replacement may not be ideal if the joint remains salvageable.

Purpose of the Study:

  • To evaluate the efficacy of joint-sparing supramalleolar osteotomy for correcting distal tibial deformities.
  • To assess the procedure's potential to restore axial alignment and preserve the ankle joint.
  • To determine if supramalleolar osteotomy improves patient function and reduces pain.

Main Methods:

  • Review of existing literature on supramalleolar osteotomy for distal tibial realignment.
  • Analysis of studies reporting functional outcomes and pain relief following the procedure.
  • Focus on joint-sparing techniques to maintain ankle joint integrity.

Main Results:

  • Supramalleolar osteotomy effectively corrects deformities of the distal tibia.
  • The procedure successfully restores axial alignment of the ankle joint.
  • Studies indicate significant improvements in patient function and pain reduction.

Conclusions:

  • Joint-sparing supramalleolar osteotomy is a valuable surgical option for distal tibial malalignment.
  • This technique offers a joint-preserving alternative to ankle fusion or replacement.
  • Restoring alignment via osteotomy can alleviate pain and enhance ankle function.