Results of Opening-Wedge Osteotomy for the Treatment of a Post-Traumatic Varus Deformity of the Ankle

We performed a one-stage opening-wedge valgus osteotomy in nine patients to correct a post-traumatic progressive varus deformity of the ankle. The osteotomy site was stabilized with two, three, or four Kirschner wires or with a plate and screws (in one patient). The site of the osteotomy united with...

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Bibliographic Details
Published in:Journal of bone and joint surgery. American volume 1998-02, Vol.80 (2), p.213-218
Main Authors: TAKAKURA, YOSHINORI, TAKAOKA, TAKANORI, TANAKA, YASUHITO, YAJIMA, HIROSHI, TAMAI, SUSUMU
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adolescent
Adult
Ankle Injuries - complications
Ankle Injuries - diagnostic imaging
Ankle Injuries - physiopathology
Ankle Injuries - surgery
Biological and medical sciences
Bone Screws
Bone Wires
Child
Female
Fractures, Bone - complications
Humans
Joint Deformities, Acquired - diagnostic imaging
Joint Deformities, Acquired - etiology
Joint Deformities, Acquired - physiopathology
Joint Deformities, Acquired - surgery
Male
Medical sciences
Middle Aged
Orthopedic surgery
Osteoarthritis - etiology
Osteomyelitis - complications
Osteotomy
Radiography
Range of Motion, Articular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tibial Fractures - complications
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Summary:We performed a one-stage opening-wedge valgus osteotomy in nine patients to correct a post-traumatic progressive varus deformity of the ankle. The osteotomy site was stabilized with two, three, or four Kirschner wires or with a plate and screws (in one patient). The site of the osteotomy united within two months after the operation in eight patients and at six months in one patient who was fifty-nine years old. The average duration of follow-up was seven years and four months (range, two years and four months to thirteen years and two months). Postoperatively, the range of motion of the ankle was decreased in six patients and remained unchanged in three. However, none of the patients reported any limitation in the activities of daily living, and the four adolescent patients were able to participate in sports activities. The result was graded as excellent for four ankles, good for two, and fair for three.
ISSN:0021-9355
1535-1386
DOI:10.2106/00004623-199802000-00008