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Titre : | Joint-Preserving Procedures in Patients with Varus Deformity: Role of Supramalleolar Osteotomies (2019) |
Auteurs : | Alexej Barg ; Charles L. Saltzman |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 24, n° 2, 2019) |
Article en page(s) : | p. 239-264 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Arthrose ; Articulation talocrurale ; Cheville ; Osteotomie ; Tibia |
Résumé : |
The most common cause for end-stage ankle osteoarthritis is posttraumatic, often resulting in concomitant supramalleolar deformity.
Aims of the supramalleolar osteotomy include restoration of the lower-leg axis to improve intraarticular load distribution, retard degeneration of the tibiotalar joint, and improve function. Preoperative planning is based on conventional weight-bearing radiographs. Often advanced imaging, including computed tomography and/or MRI, can help clarify the underlying problem and potentially allow for a supramalleolar correction. For a varus deformity, a supramalleolar osteotomy can be corrected either through the medial approach with a medial opening-wedge osteotomy or through the lateral approach with a lateral closing-wedge osteotomy. Complete pain relief should not be expected following a supramalleolar osteotomy procedure. Postoperative complications are not uncommon, including progression of tibiotalar osteoarthritis. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751519300178 |