title: Supramalleolar osteotomy and ankle arthrodiastasis for juvenile posttraumatic ankle arthritis.
abstract: Numerous techniques have been described for posttraumatic ankle arthritis with or without an associated lower extremity deformity in the adult population. These surgical procedures may include, but are not limited to, ankle exostectomy with joint resurfacing, ankle arthrodiastasis, ankle arthroplasty, and ankle arthrodesis. Associated deformities may also be addressed with supramalleolar osteotomies, tibia or fibular lengthening, and calcaneal osteotomies. In juvenile patients, surgical treatment options for posttraumatic ankle arthritis can be challenging, especially when an associated deformity is present. This article describes a combined supramalleolar osteotomy and ankle arthrodiastasis for a juvenile patient with posttraumatic ankle arthritis and valgus deformity.
authors.affiliation: Foot and Ankle Surgery, VSAS Orthopaedics, Lehigh Valley Hospital, 1250 South Cedar Crest Boulevard, Suite #110, Allentown, PA 18103, USA; Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA. Electronic address: jostaple@hotmail.com.
authors.forename: John J
authors.initials: JJ
authors.lastname: Stapleton
authors.affiliation: Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D000293:Adolescent; D016512:Ankle Injuries / Q000175:diagnosis / Q000601:surgery*; D000843:Ankle Joint / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D016267:External Fixators; D005260:Female; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000175:diagnosis / Q000601:surgery*; D018409:Foot Injuries / Q000175:diagnosis / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D010003:Osteoarthritis / Q000175:diagnosis / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000379:methods*; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation
keywords: Ankle deformity; Arthrodiastasis; External fixation; Internal fixation; Posttraumatic arthritis; Supramalleolar osteotomy