title: Medial Malleolar Osteotomy and Osteochondral Autograft Transfer for Osteochondritis Dissecans of the Distal Tibial Plafond.
abstract: The literature on the surgical treatment of osteochondritis dissecans of the distal tibial plafond is significantly limited. The purpose of this case study is to present a novel surgical technique to repair osteochondritis dissecans of the distal medial tibial plafond. A retrospective chart and radiographic review of a 15-year-old male was performed with a 24-month follow-up along with a review of the literature. A right angled medial malleolar osteotomy provides adequate exposure, width, and depth of the medial distal tibial plafond allowing for the successful transfer of osteochondral autograft plugs.
  
  
  METHODS
  Therapeutic, Level IV: Case report.
authors.affiliation: University Hospitals Richmond Medical Center, Richmond Heights, Ohio jeffrey.wunning@gmail.com.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Wunning
authors.affiliation: University Hospitals Richmond Medical Center, Richmond Heights, Ohio.
authors.forename: Nicole
authors.initials: N
authors.lastname: Allen-Wilson
authors.affiliation: University Hospitals Richmond Medical Center, Richmond Heights, Ohio.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Horton
authors.affiliation: University Hospitals Richmond Medical Center, Richmond Heights, Ohio.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Sharpe
mesh_terms: D000293:Adolescent; D000843:Ankle Joint / Q000601:surgery*; D064592:Autografts; D016025:Bone Transplantation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010008:Osteochondritis Dissecans / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D013977:Tibia / Q000601:surgery*; D013997:Time Factors
keywords: ankle injuries; reconstructive foot and ankle surgery