title: Corrective Osteotomies for Malunited Malleolar Fractures.
abstract: Ankle fractures are common and may be treated nonoperatively or by reduction and internal fixation. Both treatments may lead to nonanatomic healing, called malunions. Malunions lead to joint instability and pathologic load transfer. Arthritic joint destruction may be the consequence. Corrective osteotomies for malunited malleolar fractures have to restore anatomic conditions. Osteotomies of the medial malleolus, lateral malleolus, posterior malleolus (Volkmann's triangle), and the posteromedial corner or combinations thereof described. Corrective osteotomies for malleolar malunions show good results in the majority of mid- and long-term studies. Secondary arthrodesis is needed in about 10% to 15% of patients.
authors.affiliation: Department of Orthopaedics and Traumatology, St. Claraspital, Kleinriehenstrasse 30, 4016 Basel, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Weber
authors.affiliation: Department of Orthopaedics and Traumatology, Siloah AG, Worbstrasse 316, 3073 Gümligen, Switzerland. Electronic address: Martin.Weber@spitalnetzbern.ch.
authors.forename: Martin
authors.initials: M
authors.lastname: Weber
mesh_terms: D064386:Ankle Fractures / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001168:Arthritis / Q000209:etiology; D005593:Fracture Fixation, Internal; D017759:Fractures, Malunited / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000503:physiopathology; D008023:Ligaments, Articular / Q000293:injuries / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D013977:Tibia / Q000601:surgery
keywords: Ankle fracture; Ankle malunion; Osteotomy malleolus