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Related Concept Videos

Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Opening Wedge Distal Tibial Osteotomy.

Thomas S Roukis1, Christopher F Hyer2

  • 1Department of Foot & Ankle Surgery, Rothman Orthopaedic Institute, Orlando, FL, USA.

Clinics in Podiatric Medicine and Surgery
|November 20, 2025
PubMed
Summary
This summary is machine-generated.

This article details opening wedge osteotomies for correcting ankle malalignments like varus and valgus deformities. It provides surgical techniques and complication management for distal tibial osteotomies.

Keywords:
Corrective ankle osteotomiesDistal tibial osteotomySupra-malleolar osteotomySupra-talar osteotomyTrans-malleolar osteotomy

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Area of Science:

  • Orthopedic Surgery
  • Biomechanics

Background:

  • Ankle joint malalignment, including angular, rotational, and translational deformities, necessitates surgical correction.
  • Varus and valgus deformities of the ankle are common conditions requiring specific osteotomy techniques.

Purpose of the Study:

  • To describe the surgical technique for opening wedge osteotomy of the distal tibia.
  • To review the prevention and management of complications associated with distal tibial osteotomies.

Main Methods:

  • Detailed description of the opening wedge osteotomy surgical procedure for the distal tibia.
  • Review of common complications and their management strategies.

Main Results:

  • The opening wedge osteotomy is an effective technique for correcting distal tibial malalignments.
  • Proper surgical technique and complication management are crucial for successful outcomes.

Conclusions:

  • Supramalleolar osteotomies, specifically opening wedge osteotomies of the distal tibia, are indicated for ankle malalignments.
  • This article serves as a guide for surgeons on technique, prevention, and management of complications.