Supramalleolar Osteotomy for the Treatment of Distal Tibial Angular Deformities and Arthritis of the Ankle Joint

Stamatis, Emmanouil D.; Myerson, Mark S.

doi:10.1097/01.btf.0000135272.98716.46

Cited by 64 publications

(119 citation statements)

References 20 publications

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“…Impairment of functional ability, as represented by the clinical-functional AOFAS ankle score, was substantial in this cohort with ankle OA (Table 2), but comparable to reported rates [25,36]. The documented ROM in the primary OA group was higher than in the posttraumatic or secondary OA group, as was the pain score.…”

Section: Discussionsupporting

confidence: 69%

“…Although hip and knee OA are mostly of primary origin [9], clinical treatment studies of ankle OA have shown the most common type is of posttraumatic origin [25,36,39,40]. Traumatic ankle injuries that may result in OA include fractures of the malleoli, tibial plafond, talus, isolated osteochondral damage of the talar dome, and ankle ligament injury [6,20,39].…”

Section: Introductionmentioning

confidence: 99%

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Etiology of Ankle Osteoarthritis

Valderrábano

Horisberger

Russell³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

667

415

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The purpose of this study was to evaluate the distribution rate of etiologies leading to ankle arthritis and to quantify and compare the important clinical and radiologic variables among these etiologic groups. We evaluated data from 390 patients (406 ankles) who consulted our center because of painful end-stage ankle osteoarthritis (OA) by using medical history, physical examination, and radiography. Posttraumatic ankle OA was seen in 78% of the cases (n = 318), secondary arthritis in 13% (n = 52), and primary OA in 9% (n = 36). The average American Orthopaedic Foot and Ankle Society (AOFAS) hindfoot score was 38 points (range, 0-74 points), range of motion was 22°(range, 0°-65°), and visual analog scale for pain was 6.8 (range, 2-10). Patients with posttraumatic endstage ankle OA were younger than patients with primary OA. The average tibiotalar alignment was 88°(range, 51°-116°) and did not differ between the etiologic groups. Our study showed trauma is the main cause of ankle OA and primary OA is rare. In the majority of patients with ankle OA the average tibiotalar alignment is varus regardless of the underlying etiology.

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Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Etiology of Ankle Osteoarthritis

Valderrábano

Horisberger

Russell³

et al. 2009

Clinical Orthopaedics &Amp; Related Research

667

415

View full text Add to dashboard Cite

show abstract

“…All patients experience substantial pain relief as assessed using AOFAS pain subscale (from 14.6±10.5 preoperatively to 32.3±5.9 postoperatively). In all ankles, no evidence of progression of the degenerative changes in the last follow-up radiographs was observed [44].…”

Section: Clinical Results Following Supramalleolar Osteotomiesmentioning

confidence: 98%

“…Stamatis et al [44] reported their results of supramalleolar osteotomies in 12 patients (13 ankles) with a supramalleolar deformity of at least 10°with concomitant pain and with or without degenerative changes of the tibiotalar joint. In all patients, medial closing-wedge or medial opening-wedge was performed in 7 and 5 patients, respectively.…”

Section: Clinical Results Following Supramalleolar Osteotomiesmentioning

confidence: 99%

“…Medial closing-wedge OT (18), medial opening-wedge OT (7), lateral closing-wedge OT (4), others (6) Pagenstert et al [28] 2009 Post-traumatic (22) OA with valgus deformity SM medial closing-wedge OT (22) Pearce et al [24] 1994 Secondary (7) OA (hemophilic arthropathy) with valgus deformity SM medial closing-wedge OT (7) Stamatis et al [44] 2003 Primary ( [45] 1998 Post-traumatic varus deformity (9) SM medial opening-wedge OT (9) Tanaka et al [46] 2006 OA with varus deformity (26) SM medial opening-wedge OT with oblique fibular OT (9)…”

Section: Preoperative Planningmentioning

confidence: 99%

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Single-Stage Supramalleolar Osteotomy for Coronal Plane Deformity

Barg

Saltzman

2014

Curr Rev Musculoskelet Med

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A variety of surgical procedures are utilized for management of ankle osteoarthritis. The most common etiology in patients with ankle osteoarthritis is post-traumatic often resulting in asymmetric ankle osteoarthritis with concomitant valgus or varus deformity. A substantial part of tibiotalar joint is often preserved, therefore, in appropriate patients, jointpreserving surgery holds the potential to be a superior treatment option than joint-sacrificing procedures including total ankle replacement or ankle arthrodesis. This review is designed to describe indications and contraindications for single-stage supramalleolar realignment surgery. Complications associated with this type of surgery and postoperative outcome are highlighted using recent literature.

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Comparison of three different correction trajectories for foot and ankle deformity treated by supramalleolar osteotomy using a novel external fixator

Dong

et al. 2020

Numer Methods Biomed Eng

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Based on the principle of distraction osteogenesis, external fixators are widely used in deformity correction of the foot and ankle. In this study, a novel ankle external fixator is proposed to correct complex multiplane deformities, especially for supramalleolar osteotomy to correct distal tibia deformities. The relatively simple structure and fewer struts in the proposed fixator reduce the complexity of adjusting the external fixator. Based on two existing adjustment strategies, a new strategy taking into account the orientation and shortest path of the ankle joint center is proposed, which is named joint adjustment for equal bone distraction. By proposing the inverse kinematic solutions of the novel external fixator, mathematical derivations of the bone trajectory and modelling of the bone shape for the three distraction strategies are performed. The results obtained by comparative analysis indicate that a uniformly spaced path of the ankle joint center can be acquired, and a smooth and uniform correction trajectory of the distal tibia end can be obtained using the new adjustment strategy. It can avoid bone end interference and only generates a maximum deviation 0.66% greater than the currently optimal 1 mm/day. The new strategy can perform multiplane corrections simultaneously, which shortens the correction time and reduces the patient's pain.

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Supramalleolar Osteotomy for the Treatment of Distal Tibial Angular Deformities and Arthritis of the Ankle Joint

Cited by 64 publications

References 20 publications

Etiology of Ankle Osteoarthritis

Etiology of Ankle Osteoarthritis

Single-Stage Supramalleolar Osteotomy for Coronal Plane Deformity

Comparison of three different correction trajectories for foot and ankle deformity treated by supramalleolar osteotomy using a novel external fixator

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