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Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia.
Journal article

Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia.

  • Krause F Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland. Electronic address: fabian.krause@insel.ch.
  • Veljkovic A University of Health Network, 1000-1200 Burrard Street, Vancouver, British Columbia V6Z2C7, Canada.
  • Schmid T Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland.
  • 2016-02-27
Published in:
  • Foot and ankle clinics. - 2016
Distal tibia
Malalignment
Posttraumatic
Supramalleolar osteotomy
Ankle Injuries
Ankle Joint
Biomechanical Phenomena
Bone Malalignment
Humans
Osteoarthritis
Osteotomy
Radiography
Tibia
English Supramalleolar osteotomies of the tibia (SMOT) for posttraumatic distal tibial malalignment has shown to reduce pain, improve function and radiographic signs of osteoarthritis, and delay ankle arthrodesis or total joint replacement. The procedure also protects the articular cartilage from further degenerative processes by shifting and redistributing loads in the ankle joint. It is technically demanding and requires extensive preoperative planning. The type of osteotomy (opening vs closing wedge) does not influence the final outcome. However, based on the limited evidence, a grade I treatment recommendation has been given for supramalleolar osteotomies of the tibia to treat mild to moderate ankle arthritis in the presence of distal tibial malalignment.
Language
  • English
Open access status
closed
Identifiers
Persistent URL
https://sonar.ch/global/documents/278417
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