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Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening
INTRODUCTION: A patient with medial ankle osteoarthritis and a widened ankle mortise can be treated successfully with an oblique distal tibial osteotomy, without fibular osteotomy, to narrow the mortise and shift the weight-bearing axis to a more normal position. STEP 1: PATIENT POSITIONING AND PREO...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Journal of Bone and Joint Surgery, Inc.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221430/ https://www.ncbi.nlm.nih.gov/pubmed/30473917 http://dx.doi.org/10.2106/JBJS.ST.N.00113 |
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author | Ahn, Tae-Keun Yi, Young Cho, Jae-Ho Lee, Woo-Chun |
author_facet | Ahn, Tae-Keun Yi, Young Cho, Jae-Ho Lee, Woo-Chun |
author_sort | Ahn, Tae-Keun |
collection | PubMed |
description | INTRODUCTION: A patient with medial ankle osteoarthritis and a widened ankle mortise can be treated successfully with an oblique distal tibial osteotomy, without fibular osteotomy, to narrow the mortise and shift the weight-bearing axis to a more normal position. STEP 1: PATIENT POSITIONING AND PREOPERATIVE ASSESSMENT: With the patient under spinal or general anesthesia, check for mortise widening with a valgus stress test. STEP 2: SURGICAL APPROACH: Expose the ankle joint through an anterior approach. STEP 3: CORRECTIVE OSTEOTOMY: Perform an oblique osteotomy of the distal part of the tibia and narrow the widened mortise by shifting the osteotomized fragment. STEP 4: FIXATION AND BONE-GRAFTING: Stabilize the osteotomy site with a locking plate and apply bone graft to the osteotomy site. STEP 5: CLOSURE: Close the soft tissue in layers. RESULTS: Eighteen patients (fifteen female and three male; mean age, fifty-seven years) with symptomatic medial ankle osteoarthritis and mortise widening underwent distal tibial oblique osteotomy without fibular osteotomy between 2008 and 2011. Indications Contraindications Pitfalls & Challenges |
format | Online Article Text |
id | pubmed-6221430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Journal of Bone and Joint Surgery, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-62214302018-11-21 Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening Ahn, Tae-Keun Yi, Young Cho, Jae-Ho Lee, Woo-Chun JBJS Essent Surg Tech Scientific Articles INTRODUCTION: A patient with medial ankle osteoarthritis and a widened ankle mortise can be treated successfully with an oblique distal tibial osteotomy, without fibular osteotomy, to narrow the mortise and shift the weight-bearing axis to a more normal position. STEP 1: PATIENT POSITIONING AND PREOPERATIVE ASSESSMENT: With the patient under spinal or general anesthesia, check for mortise widening with a valgus stress test. STEP 2: SURGICAL APPROACH: Expose the ankle joint through an anterior approach. STEP 3: CORRECTIVE OSTEOTOMY: Perform an oblique osteotomy of the distal part of the tibia and narrow the widened mortise by shifting the osteotomized fragment. STEP 4: FIXATION AND BONE-GRAFTING: Stabilize the osteotomy site with a locking plate and apply bone graft to the osteotomy site. STEP 5: CLOSURE: Close the soft tissue in layers. RESULTS: Eighteen patients (fifteen female and three male; mean age, fifty-seven years) with symptomatic medial ankle osteoarthritis and mortise widening underwent distal tibial oblique osteotomy without fibular osteotomy between 2008 and 2011. Indications Contraindications Pitfalls & Challenges The Journal of Bone and Joint Surgery, Inc. 2015-05-13 /pmc/articles/PMC6221430/ /pubmed/30473917 http://dx.doi.org/10.2106/JBJS.ST.N.00113 Text en Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated |
spellingShingle | Scientific Articles Ahn, Tae-Keun Yi, Young Cho, Jae-Ho Lee, Woo-Chun Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title_full | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title_fullStr | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title_full_unstemmed | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title_short | Distal Tibial Osteotomy without Fibular Osteotomy for Medial Ankle Arthritis with Mortise Widening |
title_sort | distal tibial osteotomy without fibular osteotomy for medial ankle arthritis with mortise widening |
topic | Scientific Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221430/ https://www.ncbi.nlm.nih.gov/pubmed/30473917 http://dx.doi.org/10.2106/JBJS.ST.N.00113 |
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