Joint Preserving Surgery for Valgus Ankle Osteoarthritis

Alajlan, Ahmad; Valderrábano, Víctor

doi:10.1016/j.fcl.2021.11.003

Cited by 3 publications

(1 citation statement)

References 63 publications

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“…To the best of our knowledge, SMOT has been shown to be effective in the correction of varus and valgus deformities of the ankle in adults and in the treatment of ankle arthritis [ 7 , 8 ], and it helps improve patients' quality of life [ 9 ]; nevertheless, there are not many reports on the efficacy of SMOT for the treatment of TAVD in adolescents at the developmental stage; therefore, the aim of this study was to retrospectively analyze the clinical data on the application of SMOT for the treatment of TAVD in adolescents at our institution and to evaluate the radiological and clinical outcomes of SMOT for the treatment of TAVD in adolescents.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of supramalleolar osteotomy in the treatment of traumatic ankle joint varus deformity in adolescents

Zhao,

Liu,

Zhao

et al. 2023

J Orthop Surg Res

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Background Supramalleolar osteotomy (SMOT) has emerged as a valuable treatment for ankle varus deformity; however, there are fewer reports of treatment outcomes in adolescents. The purpose of this study was to investigate the radiologic and clinical outcomes of SMOT for the treatment of traumatic ankle joint varus deformity (TAVD) in adolescents. Methods We reviewed 32 adolescent cases who underwent SMOT between February 2017 and February 2022 for TAVD. Radiologic assessment included tibial anterior surface angle (TAS), talar tilt angle (TT), and tibial lateral surface angle (TLS) preoperatively and at 3 months and 12 months postoperatively, and clinical assessment was performed using American Orthopaedic Foot and Ankle Society (AOFAS) scores, Visual Analogue Scale (VAS) scores, and ankle dorsiflexion–plantarflexion ROM including preoperative and 6 months postoperative and 12 months postoperative. Results All 32 patients were followed up completely with a mean follow-up of (20.3 ± 3.2) months. From the radiologic outcomes, the mean preoperative TAS improved from 61.53 ± 3.74 to 88 ± 1.72 at 12 months postoperatively, the mean preoperative TT decreased from 2.25 ± 1.32 to 0.5 ± 0.57 at 12 months postoperatively, the mean preoperative TLS improved from 76.72 ± 0.21 to 79.34 ± 1.52 at 12 months postoperatively, the differences between the above preoperative and 12 months postoperative radiologic outcomes were statistically significant (p < 0.05), the mean preoperative AOFAS score improved from 65.5 ± 9.40 to 92.34 ± 4.00 at 12 months postoperatively, the mean preoperative VAS score decreased from 2.44 ± 1.24 to 0.78 ± 0.75 at 12 months postoperatively, and the mean preoperative range of motion (ROM) of ankle improved from 50.16 ± 7.46 to 55.78 ± 4.77 at 12 months postoperatively. The differences between the above preoperative and 12 months postoperative clinical results were statistically significant (p < 0.05). Conclusion Our study demonstrated that SMOT was effective in correcting TAVD and significantly improving ankle function in adolescents, and that it is an efficient and successful method for restoring ankle joint congruence and normal hindfoot alignment.

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Section: Introductionmentioning

confidence: 99%