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International Orthopaedics
Erschienen in: International Orthopaedics 9/2013

01.09.2013 | Review Article

Supramalleolar osteotomies for degenerative joint disease of the ankle joint: indication, technique and results

verfasst von: Alexej Barg, Geert I. Pagenstert, Monika Horisberger, Jochen Paul, Marcel Gloyer, Heath B. Henninger, Victor Valderrabano

Erschienen in: International Orthopaedics | Ausgabe 9/2013

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Abstract

Patients with varus or valgus hindfoot deformities usually present with asymmetric ankle osteoarthritis. In-vitro biomechanical studies have shown that varus or valgus hindfoot deformity may lead to altered load distribution in the tibiotalar joint which may result in medial (varus) or lateral (valgus) tibiotalar joint degeneration in the short or medium term. The treatment of asymmetric ankle osteoarthritis remains challenging, because more than half of the tibiotalar joint surface is usually preserved. Therefore, joint-sacrificing procedures like total ankle replacement or ankle arthrodesis may not be the most appropriate treatment options. The short- and midterm results following realignment surgery, are very promising with substantial pain relief and functional improvement observed post-operatively. In this review article we describe the indications, surgical techniques, and results from of realignment surgery of the ankle joint in the current literature.
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Metadaten
Titel
Supramalleolar osteotomies for degenerative joint disease of the ankle joint: indication, technique and results
verfasst von
Alexej Barg
Geert I. Pagenstert
Monika Horisberger
Jochen Paul
Marcel Gloyer
Heath B. Henninger
Victor Valderrabano
Publikationsdatum
01.09.2013
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 9/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2030-2

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