title: Exposure of the medial talar dome: bi-plane chevron medial malleolus osteotomy.
abstract: Open surgical exposure of the medial aspect of the talus is primarily indicated for osteochondral lesions of the talus and talar body fractures. Secondary to the difficulty of access, a variety of techniques have been described. The surgical techniques described in the literature include transmalleolar access windows, medial and anterior tibial osteotomies, and resection osteotomies (plafondoplasty). The purpose of this article is to describe the surgical technique for the bi-planar chevron osteotomy of the medial malleolus. This osteotomy can provide full exposure to the entire medial aspect of the talus. The orientation of the osteotomy allows for perpendicular placement of instrumentation on the medial half of the talus and is particularly useful for cartilage transplant procedures. The technique is reproducible and has a low complication rate when performed correctly.
authors: Orthopedic Foot and Ankle Center, Westerville, Ohio 43082, USA.
authors: Jaymes D
authors: JD
authors: Granata
authors: William T
authors: WT
authors: DeCarbo
authors: Christopher F
authors: CF
authors: Hyer
authors: Angela M
authors: AM
authors: Granata
authors: Gregory C
authors: GC
authors: Berlet
mesh_terms: D000843:Ankle Joint / Q000033:anatomy & histology / Q000601:surgery*; D002358:Cartilage, Articular / Q000601:surgery; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D013628:Talus / Q000601:surgery