title: Osteotomies for Managing Varus and Valgus Malalignment with Total Ankle Replacement.
abstract: Total ankle replacement remains an option for varus and valgus ankles, provided that it results in a balanced, neutrally aligned ankle. Accurate preoperative assessment of the deformity is essential for appropriate selection of adjuvant procedures. Osteotomies performed proximal (tibial), within (malleolar), or distal to (calcaneal, metatarsal) the ankle, allow deformity correction. Outcomes can be expected to be as good as of those ankles without coronal plane malalignment, at least in the short-term.
authors.affiliation: Department of Trauma and Orthopaedics, Frimley Health NHS Foundation Trust, Frimley Park Hospital, Portsmouth Road, Camberley, Surrey GU16 7UJ, UK.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Gougoulias
authors.affiliation: Department of Musculoskeletal Disorders, Faculty of Medicine and Surgery, University of Salerno, Salerno, 89100 Italy; Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London E1 4DG, UK. Electronic address: n.maffulli@qmul.ac.uk.
authors.forename: Nicola
authors.initials: N
authors.lastname: Maffulli
mesh_terms: D016512:Ankle Injuries / Q000150:complications / Q000000981:diagnostic imaging; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000000981:diagnostic imaging; D058737:Arthroplasty, Replacement, Ankle / Q000009:adverse effects / Q000379:methods*; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods*; D010147:Pain Measurement; D020127:Recovery of Function / Q000502:physiology; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: Ankle; Joint replacement; Osteotomy; Valgus; Varus