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Fibular Sparing Z-Osteotomy Technique for Ankle Arthrodesis

Glazebrook, Mark Anthony MD, FRCS(C); Holden, Dean MD; Mayich, Joshua MD; Mitchell, Michael MD; Boyd, Gordon MD

Techniques in Foot & Ankle Surgery: March 2009 - Volume 8 - Issue 1 - p 34-37
doi: 10.1097/BTF.0b013e318199992a

Recently, there has been increased documentation of periarticular arthritis in the ipsilateral mid and hindfoot joints in long term follow-up of patients with prior ankle arthrodesis. This has led some surgeons to convert ankle arthrodesis to a total ankle arthroplasty which is contraindicated if the lateral malleoli is sacrificed. This paper describes a fibular-sparing Z-osteotomy surgical technique that is designed to preserve the anatomy of the ankle joint while providing excellent exposure to correct preexisting deformity and allow rigid stable fixation. This report describes the fibular-sparing Z-osteotomy that is technically easy and safe.

From the Dalhousie University, Department of Orthopaedic Surgery, Halifax, Nova Scotia, Canada.

Address correspondence and reprint requests to Dr Mark A. Glazebrook, MD, FRCS(C), Assistant Professor Department of Orthopaedic Surgery,Queen Elizabeth II Health Sciences Centre, HI Site, 1796 Summer Street, Halifax, NS, B3H 3A7. E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.