Reconstructive Osteotomy for Ankle Malunion Improves Patient Satisfaction and Function

Abstract

Treatment of chronic symptoms caused by a malunion is a difficult problem in orthopedic surgery. We encountered a case of ankle malunion at our hospital about 1 year after the first operation. The patient had been unable to walk with weight-bearing but regained the ability to walk after reconstructive osteotomy of the fibula. Functional scores for the foot and ankle were significantly improved after intervention. Reconstructive osteotomy appears to represent a good option for ankle malunion.

Mal unión del maléolo medial con incongruencia tibiotalar y sindesmótica: ''resección en caja'' para su tratamiento

“…9 The current literature includes several reports of lateral malleolus poor reduction, rotational malunion, and syndesmosis postoperative incongruence. 10,11,12 However, the existing literature overlooks the medial malleolus malunion after internal fixation of ankle fractures and lacks solutions for its treatment. Osteotomy through the original fracture line pattern and internal fixation has been described as an effective solution.…”