Supramalleolar
osteotomy, in combination with an intra-articular osteotomy, shows promising
results in reconstructing malunited medial impacted ankle fractures.
The malunited medial impacted ankle fractures with varus ankle deformity can be effectively treated using supramalleolar osteotomy when combined with an intra-articular osteotomy, an analysis of a retrospective study published in the Journal, Foot & Ankle International.
The patients who were reported to have medial impacted ankle
fracture from January 2011 and December 2014 were selected. These patients were
classified into four classes; type A fractures, type B fractures with the AO
classification, 44A2 and 44B3 and went through the operation. The pain,
clinical and radiographic outcomes were assessed using visual analog scale
(VAS), the Olerud and Molander Scale, and the modified Takakura classification
stage, respectively.
After the treatment,
the tibial ankle surface (TAS) angle and talar tilt angle (TTA), the
radiographic variables showed a significant difference from the baseline.
However, no difference was noticed within the mean tibial lateral surface
(TLS). The average Olerud and Molander Scale score and VAS also showed an
improvement from the baseline. On the other hand, the modified Takakura
classification stage reflected no difference from the baseline.
All the
above-evaluated results indicated the considerable importance of supramalleolar
osteotomy combined with an intra-articular osteotomy.
Foot & Ankle International
Supramalleolar Osteotomy Combined With an Intra-articular Osteotomy for the Reconstruction of Malunited Medial Impacted Ankle Fractures.
Changjun Guo et al.
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