Document Detail


Step-cut Medial Malleolar Osteotomy: Literature Review and Case Reports.
MedLine Citation:
PMID:  22168956     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Talar dome pathology involving the medial half of the talus is a common occurrence. Direct visualization of this region of the ankle joint can be challenging because of anatomical constraints. Many lesions can be seen arthroscopically and, with the aid of a distractor, can be successfully treated. However, because of adhesive capsulitis and/or the size and location of the lesion, an open arthrotomy or a transmedial malleolar osteotomy may be required. The purpose of this article is to review the literature on techniques developed for gaining access to this area of the ankle and to highlight the step-cut medial malleolar osteotomy (SCMMO) and modifications that can be made to it to facilitate joint access. Two case studies are used to exemplify the SCMMO and modifications used to increase talar dome access. Because of anatomic constraints, many foot and ankle surgeons recommend osteotomy of the medial malleolus to gain access to the posteromedial aspect of the ankle. The step-cut approach is technically simple to perform; it can be safely modified when treating central lesions, it has inherent osseous stability that minimizes risk of displacement during rehabilitation, and it has a broad cancellous surface area, which facilitates osseous union. The authors recommend this procedure when an osteotomy is needed to gain access to the posteromedial ankle joint.
Authors:
S Jeffrey Siegel; Alexander C Mount
Related Documents :
7487766 - Dutch variant of bellini metaphyseal dysplasia: report of two siblings.
17657556 - Congenital pseudarthrosis of the tibia: analysis of the histology and the nf1 gene.
19017386 - Acroform type of enchondromatosis associated with severe vertebral involvement and faci...
21669346 - First metatarsophalangeal joint arthrodesis: current fixation options.
16077346 - Combined acute traumatic aortic injury and left main bronchus transection in a 5-year-o...
17324986 - Isolated levocardia: prenatal diagnosis, clinical importance, and literature review.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-12-9
Journal Detail:
Title:  The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons     Volume:  -     ISSN:  1542-2224     ISO Abbreviation:  -     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9308427     Medline TA:  J Foot Ankle Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Aria Health Systems Clerkship Coordinator and Temple University School of Podiatric Medicine, Philadelphia, PA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Modified Tension Band Wiring Fixation for Avulsion Fractures of the Calcaneus in Osteoporotic Bone: ...
Next Document:  Models of inter professional working for older people living at home: a survey and review of the loc...