Results of Opening-Wedge Osteotomy for the Treatment of a Post-Traumatic Varus Deformity of the Ankle*
YOSHINORI TAKAKURA, M.D.†; TAKANORI TAKAOKA, M.D.†; YASUHITO TANAKA, M.D.†; HIROSHI YAJIMA, M.D.†; SUSUMU TAMAI, M.D.†, NARA, JAPAN

Abstract

We performed a one-stage opening-wedge valgus osteotomy in nine patients to correct a post-traumatic progressive varus deformity of the ankle. The osteotomy site was stabilized with two, three, or four Kirschner wires or with a plate and screws (in one patient). The site of the osteotomy united within two months after the operation in eight patients and at six months in one patient who was fifty-nine years old. The average duration of follow-up was seven years and four months (range, two years and four months to thirteen years and two months). Postoperatively, the range of motion of the ankle was decreased in six patients and remained unchanged in three. However, none of the patients reported any limitation in the activities of daily living, and the four adolescent patients were able to participate in sports activities. The result was graded as excellent for four ankles, good for two, and fair for three.

Footnotes

  • *No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

  • Investigation performed at the Department of Orthopaedic Surgery, Nara Medical University, Nara


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