Classification and treatment of supramalleolar deformities.

Abstract:

BACKGROUND:Supramalleolar osteotomies are increasingly popular for addressing asymmetric arthritis of the ankle joint. Still, recommendations for the indication and the use of additional procedures remain arbitrary. We preoperatively grouped different types of asymmetric arthritis into several classes and assessed the usefulness of an algorithm based on these classifications for determining the choice of supramalleolar operative procedure and the risk factors for treatment failure. METHODS:Ninety-two patients (94 ankles) were followed prospectively and assessed clinically and radiographically 43 months after a supramalleolar osteotomy for asymmetric arthritis of the ankle joint. RESULTS:Significant improvement of the clinical scores was found. Postoperative reduction of radiological signs of arthritis was observed in mid-stage arthritis. Age and gender did not affect the outcome. Ten ankles failed to respond to the treatment and were converted to total ankle replacements or fused. CONCLUSIONS:Supramalleolar osteotomies can be effective for the treatment of early and midstage asymmetric arthritis of the ankle joint. However, certain subgroups have a tendency towards a worse outcome and may require additional surgery. Therefore preoperative distinction of different subgroups is helpful for determination of additional procedures.

journal_name

Foot Ankle Int

authors

Knupp M,Stufkens SA,Bolliger L,Barg A,Hintermann B

doi

10.3113/FAI.2011.1023

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1023-31

issue

11

eissn

1071-1007

issn

1944-7876

journal_volume

32

pub_type

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