title: Supramalleolar tibial osteotomy secured with the Puddu plate.
abstract: Clinical indications for distal tibial osteotomies are rare and information on fixation techniques is limited. This article reviews a retrospective study of 4 patients who underwent 5 distal tibial open-wedge osteotomies stabilized with a Puddu plate. All osteotomies healed within 3 months with no incidence of malunion, nonunion, or fixation failure and all deformities were adequately corrected. The Puddu plate (Arthrex Inc, Naples, Fla) provides secure fixation for open-wedge distal tibial osteotomies with accurate and reproducible results.
authors.affiliation: University of Toronto, Ontario, Canada.
authors.forename: Alastair
authors.initials: A
authors.lastname: Best
authors.forename: Tim R
authors.initials: TR
authors.lastname: Daniels
mesh_terms: D000293:Adolescent; D000328:Adult; D016512:Ankle Injuries / Q000601:surgery; D001860:Bone Plates; D018786:Bone Substitutes / Q000627:therapeutic use; D005260:Female; D017759:Fractures, Malunited / Q000601:surgery; D006801:Humans; D007085:Ilium / Q000637:transplantation; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D012189:Retrospective Studies; D000072042:Salter-Harris Fractures; D013977:Tibia / Q000002:abnormalities / Q000601:surgery*; D013978:Tibial Fractures / Q000601:surgery
chemical_list: D018786:Bone Substitutes