Lengthening osteotomy of the fibula for post-traumatic malunion

Weber, Dominique; Friederich, Niklaus F.; Müller, W

doi:10.1007/s002640050229

Cited by 56 publications

(35 citation statements)

References 16 publications

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“…The amount of fibular shortening was estimated on the radiographs by comparing the relationship between the medial and lateral malleolus on the affected side to those on the normal side. The degree of degenerative changes in the ankle joint were also assessed [1,[10][11][12][13][14]. CT scan examination was not routinely performed in this series of patients.…”

Section: Preoperative Evaluationmentioning

confidence: 99%

Realignment-lengthening osteotomy for malunited distal fibular fracture

El-Rosasy¹,

Ali²

2013

International Orthopaedics (SICOT)

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Section: Preoperative Evaluationmentioning

confidence: 99%

Realignment-lengthening osteotomy for malunited distal fibular fracture

El-Rosasy¹,

Ali²

2013

International Orthopaedics (SICOT)

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“…Weber et al compared two groups of fibular osteotomies using a standard transverse cut versus a sliding Z-osteotomy in the coronal plane. In their series of six patients, no differences in postoperative outcomes with regard to the type of osteotomy performed were noted [12]. We performed a transverse osteotomy at the site of the fracture.…”

Section: Discussionmentioning

confidence: 92%

Using a cervical spine cage to reconstruct malunited fibular fractures

Brin

Palmanovich

Massarwe

et al. 2013

International Orthopaedics (SICOT)

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Purpose Anatomical reduction and fixation of unstable ankle fractures is necessary to prevent post-traumatic arthritis. Malunion of the distal fibula in unstable ankle fractures can lead to late degenerative changes of the ankle. Late reconstruction of the ankle can improve its function and postpone the need for ankle fusion or replacement. Methods We discuss three patients who presented with fibular malunion. All developed medial gutter opening, syndesmotic widening, and lateral shift and/or talar tilt. Surgery involved an anteromedial approach to clean the medial gutter, an anterolateral approach to clean the syndesmotic interval, elongation of the fibula by six to eight millimetres and stabilisation with a cervical spine cage and a locked plate. Results After one year, all patients had radiologically demonstrated reduction of the talus in the mortise. Improved function was recorded at final follow up. The cage provides several advantages over other fixation methods, including osteoconductive properties, avoiding bone graft donor site morbidity, and the range of sizes allows the surgeon to adjust the amount of elongation. Conclusions Using spinal cages to treat malunited fibula fractures has several advantages compared to bone graft and good results can be expected.

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“…18 There are different ways to establish fibular length without autologous bone grafting. 19,20 We performed a transverse osteotomy above the level of the syndesmosis, 11 and the 1-cm gap was filled with a tricortical iliac crest graft which promoted additional stability. 21 A 3.5-mm dynamic compression plate was applied to hold the lateral malleolus in its reduced position.…”

Section: Discussionmentioning

confidence: 99%

Distal Fibular Lengthening after Premature Growth Arrest: A Case Report

Manoudis

Kontogeorgakos

Badras

2012

J Orthop Surg (Hong Kong)

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Post-traumatic premature closure of the distal fibular growth plate is a rare entity leading to shortening of the lateral malleolus. We report on a 14-year old boy who presented with a 4-year history of worsening, diffuse discomfort and swelling of his left ankle, as well as fibular shortening and talar malreduction. He had sustained a distal tibial fracture 4 years earlier and had been treated with closed reduction. He reported instability of the ankle and difficulty with running. There was 1-cm shortening of the left fibula, 1-cm shortening of the proximal fibula, and slight widening of the medial clear space. Both tibial and fibular growth plates were already closed and the left ankle joint space was slightly narrowed. He was treated with late fibular lengthening and autogenous iliac crest tricortical bone grafting and achieved anatomic restoration of the distal tibiofibular relationship. At one-year follow-up, the ankle-hindfoot score had improved from 69 to 100.

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Lengthening osteotomy of the fibula for post-traumatic malunion

Cited by 56 publications

References 16 publications

Realignment-lengthening osteotomy for malunited distal fibular fracture

Realignment-lengthening osteotomy for malunited distal fibular fracture

Using a cervical spine cage to reconstruct malunited fibular fractures

Distal Fibular Lengthening after Premature Growth Arrest: A Case Report

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