Corrective lengthening osteotomy of the fibula.
Widening of the ankle mortise following fracture can be a subtle diagnosis requiring special radiographs to fully appreciate the extent of shortening and rotation of the fibula. Once this fibular shortening has been recognized, a lengthening and rotational osteotomy can be conducted with use of a special compression/distraction device and bone graft. A series of 23 cases demonstrates that reconstructive lengthening osteotomy is well worthwhile when there is absent or minimal osteoarthritic change, irrespective of the time from the original injury.
D000328:Adult; D016512:Ankle Injuries; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery; D001852:Bone Lengthening; D005260:Female; D005360:Fibula / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy; D011859:Radiography