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Fig. 2 | Journal of Orthopaedic Surgery and Research

Fig. 2

From: Supramalleolar osteotomy combined with lateral ligament reconstruction and talofibular immobilization for varus ankle osteoarthritis with excessive talar tilt angle

Fig. 2

The treatment process of the same patient shown in Fig. 1. An anteromedial incision (a) was made for joint debridement and supramalleolar osteotomy. An anterolateral incision (b) was made for joint debridement, lateral ankle ligament reconstruction, and Kirschner wire fixation of the tibial talus. Anteroposterior view at 6 weeks postoperatively (c) showed Kirschner wire fixation of the tibial talus and good joint matching. The appearance of the right ankle before (d) and 20 months after surgery (e) showed obvious improvement of the heel alignment. At 20 months after surgery, weight-bearing anteroposterior view (f), lateral view (g), and hindfoot alignment view (h) showed good recovery of the MDTA, ADTA, and TTA. The TTA remained at approximately 0° and the arthritis stage improved to stage 2

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Journal of Orthopaedic Surgery and Research

ISSN: 1749-799X