A cohort study of patients undergoing distal tibial osteotomy without fibular osteotomy for medial ankle arthritis with mortise widening

The Journal of Bone and Joint Surgery. American Volume
Tae-Keun AhnWoo-Chun Lee

Abstract

Although the supramalleolar osteotomy can shift the weight-bearing axis laterally, it cannot reconstruct a widened ankle mortise caused by progression of medial ankle osteoarthritis. The aim of this study was to evaluate radiographic and clinical outcomes of distal tibial osteotomy without fibular osteotomy in patients with medial ankle osteoarthritis and mortise widening. Distal tibial osteotomy without fibular osteotomy was performed in eighteen patients to treat medial ankle osteoarthritis with mortise widening. Fifteen women and three men with a mean age of fifty-seven years (range, forty-nine to sixty-four years) were followed for a mean of thirty-four months (range, twenty-four to sixty-six months). Mortise widening was diagnosed using valgus stress radiographs and intraoperative examination. The clinical outcome was assessed with the American Orthopaedic Foot & Ankle Society (AOFAS) score, visual analog scale (VAS) score for pain, and the ankle osteoarthritis scale (AOS) score. The translation of the talus within the ankle mortise, talar tilt, medial distal tibial angle, and anterior distal tibial angle were evaluated on weight-bearing radiographs made preoperatively and postoperatively. The AOFAS score improved signific...Continue Reading

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Citations

Mar 3, 2009·The Knee·Cristiano Hossri RibeiroOsmar Pedro Arbix de Camargo
Jan 8, 2005·Clinics in Sports Medicine·Michelle Wolcott
Mar 14, 2007·Foot and Ankle Clinics·Michael P Swords, Scott Nemec
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Oct 22, 2016·Foot & Ankle International·Nicola KrähenbühlMarkus Knupp
May 18, 2016·Foot & Ankle International·Zhao HongmouLiu Cheng
Jun 1, 2017·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Hong-Mou ZhaoJun Lu
May 16, 2018·Foot & Ankle International·Jun Young ChoiJin Soo Suh
Sep 12, 2017·Foot & Ankle International·Timo SchmidKevin Wing
Apr 27, 2019·Foot & Ankle International·Nicola KrähenbühlBeat Hintermann
Jan 12, 2020·International Orthopaedics·Nicola KrähenbühlBeat Hintermann
Aug 1, 2020·Foot & Ankle International·Jun Young ChoiJin Soo Suh
May 8, 2019·Journal of Orthopaedic Surgery and Research·Hong-Mou ZhaoXiao-Jun Liang
May 13, 2015·JBJS Essential Surgical Techniques·Tae-Keun AhnWoo-Chun Lee
Jan 16, 2020·BMC Musculoskeletal Disorders·Koji NozakaYoichi Shimada
Jan 8, 2021·Skeletal Radiology·Ji-Beom KimWoo-Chun Lee
May 14, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jae Hwang SongSeok Won Lee
Jan 8, 2021·Journal of Orthopaedic Surgery and Research·Yang XuXiang-Yang Xu
Mar 9, 2021·BioMed Research International·Dong-Il ChunYoung Yi
Jul 7, 2021·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jae Wan SuhSeung Hwan Han
Jul 29, 2021·Foot & Ankle International·Chul Hyun ParkWoo-Chun Lee
Aug 14, 2021·Foot & Ankle International·Jun Young ChoiJin Soo Suh
Sep 28, 2021·Journal of Orthopaedic Surgery and Research·Jing-Qi LiangHong-Mou Zhao
Dec 31, 2020·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jun Young ChoiJin Soo Suh

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