Abstract
Primary osteoarthritis of the ankle with no history of trauma is rare. We report the use of a low tibial osteotomy on 18 ankles in 18 patients, two men and 16 women. The osteotomy is designed to correct the varus tilt and anterior opening of the distal tibial joint surface where it has been shown by weight-bearing radiographs and arthroscopy that there is healthy articular cartilage on the lateral side of the ankle. An opening-wedge osteotomy was used to achieve slight overcorrection. Follow-up of the 18 ankles at an average of 6 Sears 11 months (2.7 to 12.10) showed the results by our own scoring system to be excellent in six: ankles, good in nine, and fair in three with no poor results. Of the three patients with fair results, two had been undercorrected and the third had little residual articular cartilage. Arthroscopic examination of ten ankles showed repair by fibrocartilage in seven. We conclude that slight overcorrection of deformity by low tibial osteotomy is effective in treating intermediate-stage primary osteoarthritis of the ankle.
| Original language | English |
|---|---|
| Pages (from-to) | 50-54 |
| Number of pages | 5 |
| Journal | Journal of Bone and Joint Surgery - Series B |
| Volume | 77 |
| Issue number | 1 |
| Publication status | Published - 1995 |
| Externally published | Yes |
Fingerprint
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Low tibial osteotomy for osteoarthritis of the ankle. Results of a new operation in 18 patients. / Takakura, Y.; Tanaka, Y.; Kumai, Tsukasa; Tamai, S.
In: Journal of Bone and Joint Surgery - Series B, Vol. 77, No. 1, 1995, p. 50-54.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Low tibial osteotomy for osteoarthritis of the ankle. Results of a new operation in 18 patients
AU - Takakura, Y.
AU - Tanaka, Y.
AU - Kumai, Tsukasa
AU - Tamai, S.
PY - 1995
Y1 - 1995
N2 - Primary osteoarthritis of the ankle with no history of trauma is rare. We report the use of a low tibial osteotomy on 18 ankles in 18 patients, two men and 16 women. The osteotomy is designed to correct the varus tilt and anterior opening of the distal tibial joint surface where it has been shown by weight-bearing radiographs and arthroscopy that there is healthy articular cartilage on the lateral side of the ankle. An opening-wedge osteotomy was used to achieve slight overcorrection. Follow-up of the 18 ankles at an average of 6 Sears 11 months (2.7 to 12.10) showed the results by our own scoring system to be excellent in six: ankles, good in nine, and fair in three with no poor results. Of the three patients with fair results, two had been undercorrected and the third had little residual articular cartilage. Arthroscopic examination of ten ankles showed repair by fibrocartilage in seven. We conclude that slight overcorrection of deformity by low tibial osteotomy is effective in treating intermediate-stage primary osteoarthritis of the ankle.
AB - Primary osteoarthritis of the ankle with no history of trauma is rare. We report the use of a low tibial osteotomy on 18 ankles in 18 patients, two men and 16 women. The osteotomy is designed to correct the varus tilt and anterior opening of the distal tibial joint surface where it has been shown by weight-bearing radiographs and arthroscopy that there is healthy articular cartilage on the lateral side of the ankle. An opening-wedge osteotomy was used to achieve slight overcorrection. Follow-up of the 18 ankles at an average of 6 Sears 11 months (2.7 to 12.10) showed the results by our own scoring system to be excellent in six: ankles, good in nine, and fair in three with no poor results. Of the three patients with fair results, two had been undercorrected and the third had little residual articular cartilage. Arthroscopic examination of ten ankles showed repair by fibrocartilage in seven. We conclude that slight overcorrection of deformity by low tibial osteotomy is effective in treating intermediate-stage primary osteoarthritis of the ankle.
UR - http://www.scopus.com/inward/record.url?scp=0028874288&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0028874288&partnerID=8YFLogxK
M3 - Article
C2 - 7822395
AN - SCOPUS:0028874288
VL - 77
SP - 50
EP - 54
JO - Bone and Joint Journal
JF - Bone and Joint Journal
SN - 2049-4394
IS - 1
ER -