Joint Preservation for Posttraumatic Ankle Arthritis After Tibial Plafond Fracture
Foot and Ankle Clinics（2022）
Abstract
SUMMARY Posttraumatic ankle arthritis after malunited distal tibial plafond fractures can be salvaged by distal tibial plafond-plasty. The principles for the joint-preserving operation are to realign the mechanical axis, reconstruct the articular surface, and achieve a congruent and stable ankle joint. The revision procedures can be divided into the following 4 steps: osteotomy for exposure, articular surface reconstruction, bone grafting, and osteotomy fixation.
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Key words
Malurited ankle fracture,Malunited tibial pilon,Posttraumatic ankle osteoarthritis,Pathophysiology,Distal tibial plafond-plasty,Joint-preserving surgery
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