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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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

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Extended Lateral Crural Overlay for Lateral Crural Tensioning.

¹Department of Otorhinolaryngology, Hospital Luz Arrabida, Vila Nova de Gaia, Portugal.

Facial Plastic Surgery & Aesthetic Medicine

|September 13, 2022

Summary

This study presents an effective surgical technique using extended lateral crural overlay and septal grafts to precisely shape the lower lateral cartilages. The method enhances nasal tip definition and creates a natural transition without causing over-projection.

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Area of Science:

Rhinoplasty and Plastic Surgery
Facial Plastic and Reconstructive Surgery

Background:

Achieving optimal nasal tip definition and smooth alar transitions is a key goal in rhinoplasty.
Current techniques may sometimes lead to over-projection or insufficient structural support.

Purpose of the Study:

To evaluate an extended lateral crural overlay technique combined with septal extension graft fixation.
To assess the efficacy of this method in tensioning and flattening the lower lateral cartilages (LLC).

Main Methods:

Utilized an extended lateral crural overlay technique with significant overlapping of cartilaginous edges.
Secured the lower lateral cartilages (LLC) to a septal extension graft.

Main Results:

The technique effectively tensioned and flattened the lateral crura of the LLC.
Improved nasal tip definition was achieved.
A smooth and strong transition between the tip lobule and alar lobule was created.

Conclusions:

The described technique is an efficient method for nasal tip refinement.
It provides excellent control over LLC structure, enhancing aesthetic outcomes without over-projection.