title: Supramalleolar osteotomy for realignment of the ankle joint.
abstract: Ankle replacement systems have not been as reliable as hip replacements in providing long-term relief of pain, increased motion, and return to full activity. Supramalleolar Osteotomy is an extraarticular procedure that realigns the mechanical axis, thereby restoring ankle function. The literature discussing knee arthritis has shown that realignment osteotomies of the tibia improve function and prolong total knee replacement surgery. The success of the procedure is predicated on understanding the patient's clinical and radiographic presentation and proper preoperative assessment and planning.
authors.affiliation: International Center for Limb Lenghtening/Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 W. Belvedere Avenue, Baltimore MD 21215, USA. nsiddiqu@lifebridgehealth.org
authors.forename: Noman A
authors.initials: NA
authors.lastname: Siddiqui
authors.forename: John E
authors.initials: JE
authors.lastname: Herzenberg
authors.forename: Bradley M
authors.initials: BM
authors.lastname: Lamm
mesh_terms: D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005531:Foot Deformities, Acquired / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D012720:Severity of Illness Index; D013977:Tibia / Q000503:physiopathology / Q000601:surgery; D016896:Treatment Outcome