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Related Experiment Video

Updated: May 8, 2026

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

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

Published on: January 24, 2018

Distal tibial metaphyseal malunion: current concepts.

Megna Panchbhavi¹, Mark Lantieri², Amiethab Aiyer²

¹Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA.

Journal of Clinical Orthopaedics and Trauma

|May 7, 2026

Summary

Distal tibial metaphyseal malunion, a complication of leg trauma, impacts ankle function. Early recognition and tailored treatments like corrective osteotomy are crucial for optimal outcomes.

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Area of Science:

Orthopedic Surgery
Trauma Management
Biomechanics

Background:

Distal tibial metaphyseal malunion complicates lower-extremity trauma, affecting alignment and ankle function.
Even minor deformities can disrupt ankle joint mechanics, leading to pain and arthritis.

Purpose of the Study:

To review the pathophysiology, evaluation, and management of distal tibial metaphyseal malunion.
To synthesize current evidence for optimizing patient outcomes.

Main Methods:

Narrative literature review.
Systematic assessment using weight-bearing radiographs and computed tomography.

Main Results:

Malunion results from fracture characteristics, fixation difficulties, soft-tissue issues, and associated injuries.

Keywords:

Ankle biomechanics Distal tibia Malunion Post-traumatic ankle arthritis Supramalleolar osteotomy

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Evaluation requires detailed imaging to assess deformity and joint congruity.

Conclusions:

Management strategies prioritize cartilage preservation and symptom severity.
Treatment options include osteotomy, external fixation, intramedullary techniques, arthrodesis, or total ankle replacement.
Individualized, early treatment is key for successful outcomes.