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Supramalleolar Osteotomies for Ankle Osteoarthritis

Barg, Alexej MD*,†; Paul, Jochen MD*; Pagenstert, Geert I. MD*; Leumann, Andrè MD*; Horisberger, Monika MD*; Henninger, Heath B. PhD; Valderrabano, Victor MD, PhD*

Techniques in Foot & Ankle Surgery: September 2013 - Volume 12 - Issue 3 - p 138–146
doi: 10.1097/BTF.0b013e31829337b8

Asymmetric ankle osteoarthritis (OA) may develop in patients with varus or valgus deformities. Pathologically altered load distribution in the tibiotalar joint leads to medial (varus) or lateral (valgus) tibiotalar joint degeneration. However, as more than half of the tibiotalar joint surface remains preserved, joint sacrificing procedures including total ankle replacement or ankle arthrodesis may not be the most appropriate treatment options. The short-term and mid-term results after realignment surgery, published in the current literature, are very promising with substantial pain relief and functional improvement observed postoperatively. Herein we describe our experience with supramalleolar realignment surgery in patients with asymmetric varus or valgus ankle osteoarthritis.

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*Orthopaedic Department, University Hospital of Basel, University of Basel, Basel, Switzerland

Harold K. Dunn Orthopaedic Research Laboratory, University Orthopaedic Center, University of Utah, Salt Lake City, UT

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The authors declare no conflict of interest.

Address correspondence and reprint requests to Victor Valderrabano, MD, PhD, Orthopaedic Department, University Hospital of Basel, University of Basel, Spitalstrasse 21, CH-4031 Basel, Switzerland. E-mail:

© 2013 by Lippincott Williams & Wilkins