Management of Varus Ankle Osteoarthritis with Joint-Preserving Osteotomy

被引：36

作者：

Myerson, Mark S. ^{[1
]}

Zide, Jacob R. ^{[1
]}

机构：

[1] Mercy Med Ctr, Inst Foot & Ankle Reconstruct, Baltimore, MD 21202 USA

来源：

FOOT AND ANKLE CLINICS | 2013年 / 18卷 / 03期

关键词：

Osteotomy; Varus ankle arthritis; Tibiotalar joint; ANGULAR DEFORMITIES; TIBIOTALAR JOINT; TIBIA;

D O I：

10.1016/j.fcl.2013.06.006

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The goal of osteotomy in the treatment of varus ankle arthritis is to shift the forces imparted to the ankle to a portion of the joint that is not involved in the degenerative process. The redistribution of loads and stresses seen by the tibiotalar joint can be approached either above or below the ankle with an osteotomy of the tibia or calcaneus. Evaluation of the deformity as being subtalar, supramalleolar, or a combination allows the surgeon to best address the increased joint stresses, thereby reducing the risk of failure of the osteotomy.

引用

页码：471 / +

页数：11

共 8 条

[1]

Canale S T, 1981, Instr Course Lect, V30, P85

[2] Treatment of Asymmetric Arthritis of the Ankle Joint With Supramalleolar Osteotomies [J].

Knupp, Markus ;

Hintermann, Beat .

FOOT & ANKLE INTERNATIONAL, 2012, 33 (03) :250-252

[3] Effect of Supramalleolar Varus and Valgus Deformities on the Tibiotalar Joint: A Cadaveric Study [J].

Knupp, Markus ;

Stufkens, Sjoerd A. S. ;

van Bergen, Christian J. ;

Blankevoort, Leendert ;

Bolliger, Lilianna ;

van Dijk, C. N. ;

Hintermann, Beat .

FOOT & ANKLE INTERNATIONAL, 2011, 32 (06) :609-615

[4] Indications for Supramalleolar Osteotomy in Patients with Ankle Osteoarthritis and Varus Deformity [J].

Lee, Woo-Chun ;

Moon, Jeong-Seok ;

Lee, Kang ;

Byun, Woo Jin ;

Lee, Sang Hyeong .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2011, 93A (13) :1243-1248

[5] The role of the fibula in varus and valgus deformity of the tibia A BIOMECHANICAL STUDY [J].

Stufkens, S. A. ;

van Bergen, C. J. ;

Blankevoort, L. ;

van Dijk, C. N. ;

Hintermann, B. ;

Knupp, M. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2011, 93B (09) :1232-1239

[6] LOW TIBIAL OSTEOTOMY FOR OSTEOARTHRITIS OF THE ANKLE - RESULTS OF A NEW OPERATION IN 18 PATIENTS [J].

TAKAKURA, Y ;

TANAKA, Y ;

KUMAI, T ;

TAMAI, S .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1995, 77B (01) :50-54

[7]

TARR RR, 1985, CLIN ORTHOP RELAT R, P72

[8] THE ROLE OF SUBTALAR MOTION AND ANKLE CONTACT PRESSURE CHANGES FROM ANGULAR DEFORMITIES OF THE TIBIA [J].

TING, AJ ;

TARR, RR ;

SARMIENTO, A ;

WAGNER, K ;

RESNICK, C .

FOOT & ANKLE, 1987, 7 (05) :290-299

← 1 →