title: Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia.
abstract: Supramalleolar osteotomies of the tibia (SMOT) for posttraumatic distal tibial malalignment has shown to reduce pain, improve function and radiographic signs of osteoarthritis, and delay ankle arthrodesis or total joint replacement. The procedure also protects the articular cartilage from further degenerative processes by shifting and redistributing loads in the ankle joint. It is technically demanding and requires extensive preoperative planning. The type of osteotomy (opening vs closing wedge) does not influence the final outcome. However, based on the limited evidence, a grade I treatment recommendation has been given for supramalleolar osteotomies of the tibia to treat mild to moderate ankle arthritis in the presence of distal tibial malalignment.
authors.affiliation: Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland. Electronic address: fabian.krause@insel.ch.
authors.forename: Fabian
authors.initials: F
authors.lastname: Krause
authors.affiliation: University of Health Network, 1000-1200 Burrard Street, Vancouver, British Columbia V6Z2C7, Canada.
authors.forename: Andrea
authors.initials: A
authors.lastname: Veljkovic
authors.affiliation: Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, Berne 3010, Switzerland.
authors.forename: Timo
authors.initials: T
authors.lastname: Schmid
mesh_terms: D016512:Ankle Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D001696:Biomechanical Phenomena; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*
keywords: Distal tibia; Malalignment; Posttraumatic; Supramalleolar osteotomy