Lengthening z-Osteotomy of the Fibula to Correct Persistent Talar Shift Following Open Reduction Internal Fixation of Ankle Fractures

Thangarajah, Tanujan; Lakdawala, A.; Battaloglu, Emir; Malik, Arshi; Tillu, Abhay

doi:10.1177/1938640011434509

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…They reported that none of the patients who underwent this procedure presented progression towards arthropathy under x-ray after 34 months' monitoring. Thangarajah et al (2012), however, list the advantages of supra-syndesmotic Z-shaped osteotomy, performed in 4 patients with excellent results [15]. In 1998, Weber et al (1998) published a paper comparing the results obtained for a standard transverse osteotomy with a coronal plane Z-shaped osteotomy [6].…”

Section: Discussionmentioning

confidence: 99%

Fibular-Lengthening Osteotomy in Patient with Progressive Valgus Deformity After an Ankle Fracture

et al. 2020

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Unusual setting of medical care Background: The fibular fracture requires an anatomical reduction. When a malunion occurs, it can lead to a valgus deformity with an opening of the ankle mortise. Case Report: This case deals with a 23-year-old patient with pain and limited movement in the right ankle, caused by a fracture healed in an incorrect position, with shortening of the fibula and progressive displacement of the valgus, after surgery 12 months earlier for an ankle fracture. The patient underwent a corrective procedure consisting of extemporaneous lengthening of the fibula, with interposition of autologous bone graft and fixation using a compression plate. Six months after surgery, the patient did not present pain or limited movement, and was able to return to his habitual sporting activity. Conclusions: Fibular-lengthening osteotomy is a procedure indicated for patients with malunion fracture of the distal fibula, with shortening and progressive valgus deformity. This surgery allows the restoration of the joint surface, reduces stress on the cartilage and prevents the development of arthropathy of the ankle.

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Section: Discussionmentioning

confidence: 99%

Fibular-Lengthening Osteotomy in Patient with Progressive Valgus Deformity After an Ankle Fracture

et al. 2020

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Fibular Malunion

Schepers,

Halm

2023

Foot and Ankle Clinics

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Fibular-Lengthening Osteotomy to Correct a Malunited Ankle Fracture Using Fresh-Frozen Femoral Head Allograft

Visser¹,

Malik²,

Djali³

2017

Journal of the American Podiatric Medical Association

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Malreduction of a distal fibular fracture can lead to degenerative changes in the ankle joint. Previous studies have shown that the selective use of various fibular reconstructive osteotomies may halt the progression of degenerative arthritis by restoring the normal tibiotalar contact area and decreasing the stresses on the articular cartilage. In this case report, we achieved alignment with restoration of the talocrural angle and Shenton's line of the ankle using a transfibular osteotomy and an allogeneic fresh-frozen femoral head graft to fill the resultant defect. The advantage of this procedure is twofold. First, fibular-lengthening procedures may potentially decrease the eventual need for joint-sacrificing procedures such as an arthrodesis or arthroplasty. Second, an allograft allows for larger deficit correction without concern for donor-site morbidity. To our knowledge, this is the first case report using a fresh-frozen femoral head allograft for a fibular-lengthening osteotomy in the podiatric medical literature. Further research with larger patient populations is needed to establish whether fresh-frozen femoral head allograft is a reliable graft option for fibular-lengthening procedures.

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Lengthening z-Osteotomy of the Fibula to Correct Persistent Talar Shift Following Open Reduction Internal Fixation of Ankle Fractures

Abstract: Therapeutic Level V.

Cited by 3 publications

References 8 publications

Fibular-Lengthening Osteotomy in Patient with Progressive Valgus Deformity After an Ankle Fracture

Fibular-Lengthening Osteotomy in Patient with Progressive Valgus Deformity After an Ankle Fracture

Fibular Malunion

Fibular-Lengthening Osteotomy to Correct a Malunited Ankle Fracture Using Fresh-Frozen Femoral Head Allograft

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