Document Detail

Step-cut Medial Malleolar Osteotomy: Literature Review and Case Reports.
MedLine Citation:
PMID:  22168956     Owner:  NLM     Status:  Publisher    
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.
S Jeffrey Siegel; Alexander C Mount
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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.
Aria Health Systems Clerkship Coordinator and Temple University School of Podiatric Medicine, Philadelphia, PA.
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