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Supramalleolar osteotomy in post-traumatic valgus ankle osteoarthritis.
- Source :
-
International Orthopaedics . Mar2020, Vol. 44 Issue 3, p535-543. 9p. - Publication Year :
- 2020
-
Abstract
- <bold>Purpose: </bold>To assess how the level of the deformity, the stage of the osteoarthritic process, and the role of additional surgeries impact radiographic and clinical outcomes following an extra-articular medial closing supramalleolar osteotomy for treatment of post-traumatic valgus ankle osteoarthritis.<bold>Methods: </bold>About 56 consecutive patients who underwent an extra-articular medial closing wedge osteotomy for post-traumatic valgus ankle osteoarthritis were retrospectively analyzed. Subgroups were formed according to the pre-operative level of deformity and preoperative stage of ankle osteoarthritis. Additional surgical steps required to achieve a properly balanced hindfoot were also noted. Radiographic and clinical outcomes of each subgroup were compared with each other, and the role of additional surgical steps required to achieve a balanced hindfoot was investigated.<bold>Results: </bold>Radiographic and clinical outcomes improved significantly between pre-operative assessment and the last follow-up. Patients with a pre-operative supramalleolar deformity showed superior radiographic outcomes compared to patients with an intra-articular deformity. Clinical outcomes did not differ significantly between these two subgroups. The pre-operative stage of ankle osteoarthritis significantly impacted radiographic outcomes but did not influence clinical outcome measures. An additional fibula or calcaneus osteotomy was necessary for 55% and 23% of all patients, respectively.<bold>Conclusion: </bold>Extra-articular medial closing supramalleolar osteotomies show satisfactory mid- to long-term radiographic and clinical outcomes in patients with post-traumatic valgus ankle osteoarthritis. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ANKLE
*OSTEOTOMY
*FIBULA
*OSTEOARTHRITIS
*HUMAN abnormalities
*INTRA-articular injections
*TOTAL ankle replacement
*ANKLE surgery
*RESEARCH
*RESEARCH methodology
*RETROSPECTIVE studies
*EVALUATION research
*MEDICAL cooperation
*ANKLE injuries
*COMPARATIVE studies
*RESEARCH funding
*DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 03412695
- Volume :
- 44
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Orthopaedics
- Publication Type :
- Academic Journal
- Accession number :
- 141772329
- Full Text :
- https://doi.org/10.1007/s00264-019-04476-x