Supra-Malleolar Osteotomies for neglected tibial deformity a
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Ankle arthrosis continues to affect millions of people worldwide. Whereas it is not as common as hip and knee arthrosis in the aging population, it is more and more prevalent in the younger population. Also, it is not uncommon to see the total destruction of the ankle joint in the neuropathic population. Whereas arthrosis of the knee and hip is mostly “wear and tear” type, the vast majority of ankle arthrosis is post-traumatic. Because of this, the likely hood of an underlying post-traumatic deformity is high. Post Traumatic Deformity is often disabling particularly in the case of osteomyelitis treatment and open fractures with bone loss. This leads to a painful, nonplantigrade, nonfunctional limb. Consequently, the surgeon needs to perform complete and methodic pre-operative planning prior to performing any definitive reconstructive joint surgery. The authors of this paper have encountered several failed ankle arthrodeses and TAR’s because of this which required extensive revisional reconstructive surgery. Also, in the case of bony deformity, conservative measures such as braces, AFO’s will have disappointing results.

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