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

Barg, Alexej ; Pagenstert, Geert ; Horisberger, Monika ; Paul, Jochen ; Gloyer, Marcel ; Henninger, Heath ; Valderrabano, Victor

In: International Orthopaedics, 2013, vol. 37, no. 9, p. 1683-1695

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    Titre
    • Supramalleolar osteotomies for degenerative joint disease of the ankle joint: indication, technique and results
    Auteur
    • Barg, Alexej. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Pagenstert, Geert. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Horisberger, Monika. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Paul, Jochen. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Gloyer, Marcel. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    • Henninger, Heath. Harold K. Dunn Orthopaedic Research Laboratory, University Orthopaedic Center, University of Utah, Salt Lake City, UT, USA
    • Valderrabano, Victor. Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • International Orthopaedics, 2013, vol. 37, no. 9, p. 1683-1695. Springer Berlin Heidelberg
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:310834
    Summary
    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