jktoКафедра травматологии и ортопедииDepartment of Traumatology and Orthopaedics2226-2016ПРОФИЛЬ — 2С10.17238/2226-2016-2024-1-79-88jkto-64Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWНадлодыжечные остеотомии: показания, хирургические техники и результаты лечения. Литературный обзорSupramalleolar osteotomies: indications, surgical techniques and treatment results. Literature reviewЗейналовВ. Т.ZeinalovV. T.

Зейналов Вадим Тофикович - к.м.н., врач высшей категории, врач травматолог-ортопед, НКЦ №2 ФГБНУ «РНЦХ им. Ак. Б.В. Петровского»

Москва, Литовский бульвар. Д.1А, 117593 

Zeynalov Vadim Tofikovich - cand. Sci. (Med), Central Clinical Hospital of the Russian Academy of Sciences Federal state-funded budgetary public health facility

117593, Moscow

zeinalov_vadim@mail.ruАраповаИ. А.ArapovaI. A.

Арапова Ирина Андреевна - аспирант. врач травматолог-ортопед

127299, Москва, Приорова, 10

Arapova Irina Andreevna - clinical resident, department of Traumatology

127299, Moscow

ryb4sirina@yandex.ruШкуроК. В.ShkuroK. V.

Шкуро Константин Викторович - врач травматолог-ортопед

127299, Москва, Приорова, 10

Shkuro Konstantin Viktorovich - assistant of the Department, Department of Traumatology

127299, Moscow

shkuro_kostya@mail.ruФГБУ НМИЦ ТО им. Н.Н. Приорова Минздрава РоссииРоссияFederal State Budgetary Institution National Medical Research Center for Traumatology and Orthopedics named after N.N. Priorov of Ministry of Health of Russian FederationRussian Federation202413032026017988Copyright © Зейналов В.Т., Арапова И.А., Шкуро К.В., 20262026Зейналов В.Т., Арапова И.А., Шкуро К.В.Zeinalov V.T., Arapova I.A., Shkuro K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jkto.moscow/jour/article/view/64Цель

Цель. Проанализировать данные современной отечественной и зарубежной научной литературы, излагающие показания, особенности оперативной техники, результаты, возможные осложнения надлодыжечных остеотомий при лечении посттравматического деформирующего остеоартроза голеностопного сустава.

Материалы и методы

Материалы и методы. В базах данных PubMed, Medline, elibrary проведен анализ публикаций за последние десять лет, затрагивающих надлодыжечные остеотомии. Приведены результаты отечественных и зарубежных оригинальных исследований за последние десять лет. Критериями исключения являлись литературные обзоры, исследования с малым числом наблюдений, отдельные клинические случаи.

Результаты

Результаты. Крузартроз имеет преимущественно посттравматическую этиологию и часто сочетается с деформацией конечности на уровне голеностопного сустава, по причине которой суставные поверхности поражаются асимметрично. Сохраняя суставные поверхности, корригирующая остеотомия позволяет восстановить нормальную биомеханику голеностопного сустава, достичь физиологичного распределения нагрузки в суставе, купировать болевой синдром и замедлить прогрессирование деформирующего артроза. Большинство авторов мировой литературы подчеркивают высокую удовлетворенность пациентов данным способом лечения, демонстрируют хорошие краткосрочные и среднесрочные результаты, анализ которых изложен в статье на основе актуальных работ ведущих мировых специалистов.

Выводы

Выводы. Хирургические техники, направленные на сохранение амплитуды движений в голеностопном суставе деформирующем артрозе, получают все большее признание в современной травматологии и ортопедии. Проведенный обзор литературы показал, что надлодыжечные остеотомии позволяют восстановить нормальную биомеханику сустава, снизить болевой синдром, замедлить дегенеративные процессы. Подобные операции позволяют если не предотвратить, то отсрочить радикальные способы лечения крузартроза, такие как артродезирование или эндопротезирование.

Aim

Aim: The aim of this literature review was to analyze the data of modern scientific literature outlining the indications, techniques, results and complications of supramalleolar osteotomies in treatment of ankle arthrosis.

Material and methods

Material and methods: The work analyzes articles published in such aggregators as PubMed, Medline, elibrary which cover data on supramalleolar osteotomies. Articles older than 10 years were not included. Previous literature reviews, clinical cases, trials with low number of cases were excluded.

Result

Result: Patients with the presence of deformity at the level of the ankle joint have a high risk of pathological load distribution on the articular surfaces in the ankle joint, which ultimately leads to the development of asymmetric ankle arthrosis. Supramalleolar osteotomies allow for restoring the biomechanics of the joint with a reduction of pain syndrome and slowing down the degenerative changes in the joint. Most of authors of the world literature emphasize the high satisfaction of patients with this methods of treatment, demonstrate good short- and medium-term results, the analysis of which is presented in the article on the basis of current works of leading experts of the world.

Conclusion

Conclusion: Surgical techniques aimed at preserving the ankle joint in case of asymmetric arthrosis of the ankle joint with varus or valgus deformity are becoming more popular in modern orthopedic society. The conducted literature research showed that this operative treatment leads to good clinical results, corrects the hindfoot deformity and gives high results of patient satisfaction. Conservative treatment of ankle arthrosis does not bring expected results. Radical surgical techniques, such as ankle arthrodesis, can lead to a redistribution of the load on adjacent joints, which leads to secondary deformities and pain syndrome.

артроз голеностопного суставаартродез голеностопного суставанадлодыжечная остеотомияреконструкцияankle jointarthrosisarthrodesisosteotomydeformityReferencesBarg A, Pagenstert GI, Hügle T, et al. Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin. 2013;18(3):411-426. doi:10.1016/j.fcl.2013.06.001.Barg A, Pagenstert GI, Hügle T, et al. Ankle osteoarthritis: etiology, diagnostics, and classification. Foot Ankle Clin. 2013;18(3):411-426. doi:10.1016/j.fcl.2013.06.001.Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-167. doi:10.1097/BOR.0000000000000479.Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-167. doi:10.1097/BOR.0000000000000479.Laires PA, Canhão H, Rodrigues AM, Eusébio M, Gouveia M, Branco JC. The impact of osteoarthritis on early exit from work: results from a population-based study. BMC Public Health. 2018;18(1):472. Published 2018 Apr 11. doi:10.1186/s12889-018-5381-1.Laires PA, Canhão H, Rodrigues AM, Eusébio M, Gouveia M, Branco JC. The impact of osteoarthritis on early exit from work: results from a population-based study. BMC Public Health. 2018;18(1):472. Published 2018 Apr 11. doi:10.1186/s12889-018-5381-1.Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017;35(3):440-453. doi:10.1002/jor.23462Delco ML, Kennedy JG, Bonassar LJ, Fortier LA. Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res. 2017;35(3):440-453. doi:10.1002/jor.23462Godoy-Santos AL, Fonseca LF, de Cesar Netto C, Giordano V, Valderrabano V, Rammelt S. Ankle Osteoarthritis. Rev Bras Ortop (Sao Paulo). 2020;56(6):689-696. Published 2020 May 29. doi:10.1055/s-0040-1709733Godoy-Santos AL, Fonseca LF, de Cesar Netto C, Giordano V, Valderrabano V, Rammelt S. Ankle Osteoarthritis. Rev Bras Ortop (Sao Paulo). 2020;56(6):689-696. Published 2020 May 29. doi:10.1055/s-0040-1709733Shim DW, Suh JW, Park KH, Lee JW, Byun J, Han SH. Diagnosis and Operation Results for Chronic Lateral Ankle Instability with Subtle Cavovarus Deformity and a Peek-A-Boo Heel Sign. Yonsei Med J. 2020;61(7):635-639. doi:10.3349/ymj.2020.61.7.635Shim DW, Suh JW, Park KH, Lee JW, Byun J, Han SH. Diagnosis and Operation Results for Chronic Lateral Ankle Instability with Subtle Cavovarus Deformity and a Peek-A-Boo Heel Sign. Yonsei Med J. 2020;61(7):635-639. doi:10.3349/ymj.2020.61.7.635Wang B, Saltzman CL, Chalayon O, Barg A. Does the subtalar joint compensate for ankle malalignment in end-stage ankle arthritis?. Clin Orthop Relat Res. 2015;473(1):318-325. doi:10.1007/s11999-014-3960-8Wang B, Saltzman CL, Chalayon O, Barg A. Does the subtalar joint compensate for ankle malalignment in end-stage ankle arthritis?. Clin Orthop Relat Res. 2015;473(1):318-325. doi:10.1007/s11999-014-3960-8Jantzen C, Ebskov LB, Andersen KH, Benyahia M, Rasmussen PB, Johansen JK. Ugeskr Laeger. 2020;182(42):V04200244. PMID: 33046192.Jantzen C, Ebskov LB, Andersen KH, Benyahia M, Rasmussen PB, Johansen JK. Ugeskr Laeger. 2020;182(42):V04200244. PMID: 33046192.Weinraub GM, Vijayakumar A. Arthroscopy for Traumatic Ankle Injuries. Clin Podiatr Med Surg. 2023;40(3):529-537. doi:10.1016/j.cpm.2022.12.003Weinraub GM, Vijayakumar A. Arthroscopy for Traumatic Ankle Injuries. Clin Podiatr Med Surg. 2023;40(3):529-537. doi:10.1016/j.cpm.2022.12.003Bernstein M, Reidler J, Fragomen A, Rozbruch SR. Ankle Distraction Arthroplasty: Indications, Technique, and Outcomes. J Am Acad Orthop Surg. 2017;25(2):89-99. doi:10.5435/JAAOS-D-14-00077Bernstein M, Reidler J, Fragomen A, Rozbruch SR. Ankle Distraction Arthroplasty: Indications, Technique, and Outcomes. J Am Acad Orthop Surg. 2017;25(2):89-99. doi:10.5435/JAAOS-D-14-00077Migliorini F, Maffulli N, Bell A, Hildebrand F, Weber CD, Lichte P. Autologous Matrix-Induced Chondrogenesis (AMIC) for Osteochondral Defects of the Talus: A Systematic Review. Life (Basel). 2022;12(11):1738. Published 2022 Oct 29. doi:10.3390/life12111738Migliorini F, Maffulli N, Bell A, Hildebrand F, Weber CD, Lichte P. Autologous Matrix-Induced Chondrogenesis (AMIC) for Osteochondral Defects of the Talus: A Systematic Review. Life (Basel). 2022;12(11):1738. Published 2022 Oct 29. doi:10.3390/life12111738Zhao HM, Liang XJ, Li Y, Ning N, Lu J. Supramalleolar Osteotomy With Distraction Arthroplasty in Treatment of Varus Ankle Osteoarthritis With Large Talar Tilt Angle: A Case Report and Literature Review. J Foot Ankle Surg. 2017;56(5):1125-1128. doi:10.1053/j.jfas.2017.04.022Zhao HM, Liang XJ, Li Y, Ning N, Lu J. Supramalleolar Osteotomy With Distraction Arthroplasty in Treatment of Varus Ankle Osteoarthritis With Large Talar Tilt Angle: A Case Report and Literature Review. J Foot Ankle Surg. 2017;56(5):1125-1128. doi:10.1053/j.jfas.2017.04.022Morash J, Walton DM, Glazebrook M. Ankle Arthrodesis Versus Total Ankle Arthroplasty. Foot Ankle Clin. 2017;22(2):251-266. doi:10.1016/j.fcl.2017.01.013Morash J, Walton DM, Glazebrook M. Ankle Arthrodesis Versus Total Ankle Arthroplasty. Foot Ankle Clin. 2017;22(2):251-266. doi:10.1016/j.fcl.2017.01.013Barg A, Wimmer MD, Wiewiorski M, Wirtz DC, Pagenstert GI, Valderrabano V. Total ankle replacement. Dtsch Arztebl Int. 2015;112(11):177-184. doi:10.3238/arztebl.2015.0177Barg A, Wimmer MD, Wiewiorski M, Wirtz DC, Pagenstert GI, Valderrabano V. Total ankle replacement. Dtsch Arztebl Int. 2015;112(11):177-184. doi:10.3238/arztebl.2015.0177Результаты эндопротезирования голеностопного сустава третьим поколением моделей эндопротезов. К.С. Михайлов, А.А. Булатов, Д.Г. Плиев, Е.П. Сорокин, М.С. Гуацаев. Кафедра травматологии и ортопедии. 2018;1(31):40-45.Mikhaylov K.S., Bulatov A.A., Pliev D.G., Sorokin E.P., Guatsaev M.S., The results of ankle joint arthroplasty with third degeneration models prothesis // The Department of Traumatology and Orthopedics. 2018;1(31):40-45Zhao H, Liang X, Li Y, Yu G, Niu W, Zhang Y. The role of fibular for supramalleolar osteotomy in treatment of varus ankle arthritis: a biomechanical and clinical study. J Orthop Surg Res. 2016;11(1):127. Published 2016 Oct 24. doi:10.1186/s13018-016-0462-2Zhao H, Liang X, Li Y, Yu G, Niu W, Zhang Y. The role of fibular for supramalleolar osteotomy in treatment of varus ankle arthritis: a biomechanical and clinical study. J Orthop Surg Res. 2016;11(1):127. Published 2016 Oct 24. doi:10.1186/s13018-016-0462-2Aziz H, Amirian A, Dabash S, Dunn WR, Bloome D. Ankle Arthroscopy as an Adjunct to the Management of Ankle Fractures. Foot Ankle Orthop. 2021;6(2):24730114211002165. Published 2021 Apr 27. doi:10.1177/24730114211002165Aziz H, Amirian A, Dabash S, Dunn WR, Bloome D. Ankle Arthroscopy as an Adjunct to the Management of Ankle Fractures. Foot Ankle Orthop. 2021;6(2):24730114211002165. Published 2021 Apr 27. doi:10.1177/24730114211002165Особенности хирургической коррекции посттравматической вальгусной деформации голеностопного сустава сопровождающейся остеоартрозом у пациентов с плосковальгусной деформацией стоп. В. Т. Зейналов, А.А. Карданов, Н.А. Корышков, А.Н. Левин, А.С. Самков, Н.С. Гаврилова, А.В. Шайкевич. Кафедра травматологии и ортопедии. 2016;4(20):25-32Zeinalov V.T., Kardanov A.A., Levin A.N., Samkov A.S., Gavrilova N.S., Shaykevich A.V. Features of surgical correction of valgus posttraumatic ankle osteoarthritis of patients with valgus hindfoot deformities. The Department of Traumatology and Orthopedics. 2016;4(20):25-32.Alajlan A, Valderrabano V. Joint Preserving Surgery for Valgus Ankle Osteoarthritis. Foot Ankle Clin. 2022;27(1):57-72. doi:10.1016/j.fcl.2021.11.003Alajlan A, Valderrabano V. Joint Preserving Surgery for Valgus Ankle Osteoarthritis. Foot Ankle Clin. 2022;27(1):57-72. doi:10.1016/j.fcl.2021.11.003Yang XQ, Zhang Y, Wang Q, et al. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022;43(9):1185-1193. doi:10.1177/10711007221099183Yang XQ, Zhang Y, Wang Q, et al. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022;43(9):1185-1193. doi:10.1177/10711007221099183Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesions of the talus with autologous spongiosa graſts and autologous matrix-induced chondrogenesis. Am J Sports Med. 2013;41(3):519-527. doi:10.1177/0363546513476671Valderrabano V, Miska M, Leumann A, Wiewiorski M. Reconstruction of osteochondral lesions of the talus with autologous spongiosa graſts and autologous matrix-induced chondrogenesis. Am J Sports Med. 2013;41(3):519-527. doi:10.1177/0363546513476671Эндопротезирование голеностопного сустава в сочетании с дополнительными вмешательствами. Д.В. Бурков, Л.Г. Григоричева, В.Ю. Мурылев, А. Барг, А.Л. Баранецкий, И.Н. Буркова., В.Ф. Найданов. Кафедра травматологии и ортопедии. 2018;4(34):16-23.Burkov D.V., Grigoricheva L.G., Murylev V.YU., Barg A., Baranetsky A.L., Burkova I.N., Naydanov V.F. Total ankle replacement with additional procedures. The Department of Traumatology and Orthopedics. 2018;4(34):16-23.Hunt KJ, Pereira H, Kelley J, et al. The Role of Calcaneofibular Ligament Injury in Ankle Instability: Implications for Surgical Management. Am J Sports Med. 2019;47(2):431-437. doi:10.1177/0363546518815160Hunt KJ, Pereira H, Kelley J, et al. The Role of Calcaneofibular Ligament Injury in Ankle Instability: Implications for Surgical Management. Am J Sports Med. 2019;47(2):431-437. doi:10.1177/0363546518815160Acevedo JI, Mangone P. Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin. 2015;20(1):59-69. doi:10.1016/j.fcl.2014.10.002Acevedo JI, Mangone P. Ankle instability and arthroscopic lateral ligament repair. Foot Ankle Clin. 2015;20(1):59-69. doi:10.1016/j.fcl.2014.10.002Zhao H, Zhang Y, Hu D, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017;31(3):284-289. doi:10.7507/1002-1892.201611110Zhao H, Zhang Y, Hu D, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2017;31(3):284-289. doi:10.7507/1002-1892.201611110Mulhern JL, Protzman NM, Brigido SA, Deol PP. Supramalleolar Osteotomy: Indications and Surgical Techniques. Clin Podiatr Med Surg. 2015;32(3):445-461. doi:10.1016/j.cpm.2015.03.006Mulhern JL, Protzman NM, Brigido SA, Deol PP. Supramalleolar Osteotomy: Indications and Surgical Techniques. Clin Podiatr Med Surg. 2015;32(3):445-461. doi:10.1016/j.cpm.2015.03.006Hintermann B, Knupp M, Barg A. Joint-preserving surgery of asymmetric ankle osteoarthritis with peritalar instability. Foot Ankle Clin. 2013;18(3):503-516. doi:10.1016/j.fcl.2013.06.010Hintermann B, Knupp M, Barg A. Joint-preserving surgery of asymmetric ankle osteoarthritis with peritalar instability. Foot Ankle Clin. 2013;18(3):503-516. doi:10.1016/j.fcl.2013.06.010Khlopas H, Khlopas A, Samuel LT, et al. Current Concepts in Osteoarthritis of the Ankle: Review. Surg Technol Int. 2019;35:280-294. PMID: 31237341.Khlopas H, Khlopas A, Samuel LT, et al. Current Concepts in Osteoarthritis of the Ankle: Review. Surg Technol Int. 2019;35:280-294. PMID: 31237341.Caravelli S, Puccetti G, Vocale E, et al. Reconstructive Surgery and Joint-Sparing Surgery in Valgus and Varus Ankle Deformities: A Comprehensive Review. J Clin Med. 2022;11(18):5288. Published 2022 Sep 8. doi:10.3390/jcm11185288Caravelli S, Puccetti G, Vocale E, et al. Reconstructive Surgery and Joint-Sparing Surgery in Valgus and Varus Ankle Deformities: A Comprehensive Review. J Clin Med. 2022;11(18):5288. Published 2022 Sep 8. doi:10.3390/jcm11185288Результаты эндопротезирования голеностопного сустава в раннем и среднесрочном периоде наблюдений. Д.В. Бурков, В.Ю. Мурылев, И.Н. Буркова, А. Барг, В.Ф. Найданов. Кафедра травматологии. 2021;2(44):49-56.Burkov D.V., Murylev V.Y., Burkova I.N., Barg A., Naydanov V.F. Results of ankle replacement in the short and midterm follow-up period. The Department of Traumatology and Orthopedics. 2021;2(44):49-56Martinelli N, Baretta S, Pagano J, et al. Contact stresses, pressure and area in a fixed-bearing total ankle replacement: a finite element analysis. BMC Musculoskelet Disord. 2017;18(1):493. Published 2017 Nov 25. doi:10.1186/s12891-017-1848-yMartinelli N, Baretta S, Pagano J, et al. Contact stresses, pressure and area in a fixed-bearing total ankle replacement: a finite element analysis. BMC Musculoskelet Disord. 2017;18(1):493. Published 2017 Nov 25. doi:10.1186/s12891-017-1848-yCenni F, Leardini A, Cheli A, et al. Position of the prosthesis components in total ankle replacement and the effect on motion at the replaced joint. Int Orthop. 2012;36(3):571-578. doi:10.1007/s00264-011-1323-6Cenni F, Leardini A, Cheli A, et al. Position of the prosthesis components in total ankle replacement and the effect on motion at the replaced joint. Int Orthop. 2012;36(3):571-578. doi:10.1007/s00264-011-1323-6Krause F, Veljkovic A, Schmid T. Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia. Foot Ankle Clin. 2016;21(1):1-14. doi:10.1016/j.fcl.2015.09.001Krause F, Veljkovic A, Schmid T. Supramalleolar Osteotomies for Posttraumatic Malalignment of the Distal Tibia. Foot Ankle Clin. 2016;21(1):1-14. doi:10.1016/j.fcl.2015.09.001Roemer FW, Jomaah N, Niu J, et al. Ligamentous Injuries and the Risk of Associated Tissue Damage in Acute Ankle Sprains in Athletes: A Cross-sectional MRI Study. Am J Sports Med. 2014;42(7):1549-1557. doi:10.1177/0363546514529643Roemer FW, Jomaah N, Niu J, et al. Ligamentous Injuries and the Risk of Associated Tissue Damage in Acute Ankle Sprains in Athletes: A Cross-sectional MRI Study. Am J Sports Med. 2014;42(7):1549-1557. doi:10.1177/0363546514529643Ellington JK, Gupta S, Myerson MS. Management of failures of total ankle replacement with the agility total ankle arthroplasty. J Bone Joint Surg Am. 2013;95(23):2112-2118. doi:10.2106/JBJS.K.00920Ellington JK, Gupta S, Myerson MS. Management of failures of total ankle replacement with the agility total ankle arthroplasty. J Bone Joint Surg Am. 2013;95(23):2112-2118. doi:10.2106/JBJS.K.00920Eelsing R, Hemke R, Schepers T. The added value of SPECT/CT in the painful foot and ankle: A review of the literature. Foot Ankle Surg. 2021;27(7):715-722. doi:10.1016/j.fas.2020.09.009Eelsing R, Hemke R, Schepers T. The added value of SPECT/CT in the painful foot and ankle: A review of the literature. Foot Ankle Surg. 2021;27(7):715-722. doi:10.1016/j.fas.2020.09.009Wiewiorski M, Barg A, Valderrabano V. Autologous matrix-induced chondrogenesis in osteochondral lesions of the talus. Foot Ankle Clin. 2013;18(1):151-158. doi:10.1016/j.fcl.2012.12.009Wiewiorski M, Barg A, Valderrabano V. Autologous matrix-induced chondrogenesis in osteochondral lesions of the talus. Foot Ankle Clin. 2013;18(1):151-158. doi:10.1016/j.fcl.2012.12.009Lee DO, Bae KJ, Kim EJ, et al. Foot and Ankle Radiographic Parameters in Korean Adults Vary by Sex and Age. J Foot Ankle Surg. 2019;58(5):893-897. doi:10.1053/j.jfas.2019.01.003Lee DO, Bae KJ, Kim EJ, et al. Foot and Ankle Radiographic Parameters in Korean Adults Vary by Sex and Age. J Foot Ankle Surg. 2019;58(5):893-897. doi:10.1053/j.jfas.2019.01.003Hintermann B, Knupp M, Barg A. Supramalleolar Osteotomies for the Treatment of Ankle Arthritis. J Am Acad Orthop Surg. 2016;24(7):424-432. doi:10.5435/JAAOS-D-12-00124Hintermann B, Knupp M, Barg A. Supramalleolar Osteotomies for the Treatment of Ankle Arthritis. J Am Acad Orthop Surg. 2016;24(7):424-432. doi:10.5435/JAAOS-D-12-00124Kim YS, Park EH, Koh YG, Lee JW. Supramalleolar Osteotomy With Bone Marrow Stimulation for Varus Ankle Osteoarthritis: Clinical Results and Second-Look Arthroscopic Evaluation. Am J Sports Med. 2014;42(7):1558-1566. doi:10.1177/0363546514530669Kim YS, Park EH, Koh YG, Lee JW. Supramalleolar Osteotomy With Bone Marrow Stimulation for Varus Ankle Osteoarthritis: Clinical Results and Second-Look Arthroscopic Evaluation. Am J Sports Med. 2014;42(7):1558-1566. doi:10.1177/0363546514530669Zhao H, Liang X, Li Y, Niu W, Zhang D. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016;30(7):826-829. doi:10.7507/1002-1892.20160169Zhao H, Liang X, Li Y, Niu W, Zhang D. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2016;30(7):826-829. doi:10.7507/1002-1892.20160169Egloff C, Hügle T, Valderrabano V. Biomechanics and pathomechanisms of osteoarthritis. Swiss Med Wkly. 2012;142:w13583. Published 2012 Jul 19. doi:10.4414/smw.2012.13583Egloff C, Hügle T, Valderrabano V. Biomechanics and pathomechanisms of osteoarthritis. Swiss Med Wkly. 2012;142:w13583. Published 2012 Jul 19. doi:10.4414/smw.2012.13583Galli MM, Scott RT. Supramalleolar Osteotomies: An Algorithm for the Deformed Ankle. Clin Podiatr Med Surg. 2015;32(3):435-444. doi:10.1016/j.cpm.2015.03.005Galli MM, Scott RT. Supramalleolar Osteotomies: An Algorithm for the Deformed Ankle. Clin Podiatr Med Surg. 2015;32(3):435-444. doi:10.1016/j.cpm.2015.03.005Alajlan A, Valderrabano V. Joint Preserving Surgery for Valgus Ankle Osteoarthritis. Foot Ankle Clin. 2022;27(1):57-72. doi:10.1016/j.fcl.2021.11.003Alajlan A, Valderrabano V. Joint Preserving Surgery for Valgus Ankle Osteoarthritis. Foot Ankle Clin. 2022;27(1):57-72. doi:10.1016/j.fcl.2021.11.003Kvarda P, Heisler L, Krähenbühl N, et al. 3D Assessment in Posttraumatic Ankle Osteoarthritis. Foot Ankle Int. 2021;42(2):200-214. doi:10.1177/1071100720961315Kvarda P, Heisler L, Krähenbühl N, et al. 3D Assessment in Posttraumatic Ankle Osteoarthritis. Foot Ankle Int. 2021;42(2):200-214. doi:10.1177/1071100720961315Barg A, Pagenstert G, Leumann A, Valderrabano V. Knöchelosteotomie--Die Osteotomie als Zugang [Malleolar osteotomy--osteotomy as approach]. Orthopade. 2013;42(5):309-321. doi:10.1007/s00132-012-2007-7Barg A, Pagenstert G, Leumann A, Valderrabano V. Knöchelosteotomie--Die Osteotomie als Zugang [Malleolar osteotomy--osteotomy as approach]. Orthopade. 2013;42(5):309-321. doi:10.1007/s00132-012-2007-7Lacorda JB, Jung HG, Im JM. Supramalleolar Distal Tibiofibular Osteotomy for Medial Ankle Osteoarthritis: Current Concepts. Clin Orthop Surg. 2020;12(3):271-278. doi:10.4055/cios20038Lacorda JB, Jung HG, Im JM. Supramalleolar Distal Tibiofibular Osteotomy for Medial Ankle Osteoarthritis: Current Concepts. Clin Orthop Surg. 2020;12(3):271-278. doi:10.4055/cios20038Butler JJ, Azam MT, Weiss MB, Kennedy JG, Walls RJ. Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):701-715. doi:10.1007/s00167-022-07144-7Butler JJ, Azam MT, Weiss MB, Kennedy JG, Walls RJ. Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):701-715. doi:10.1007/s00167-022-07144-7Yang XQ, Zhang Y, Wang Q, Liang JQ, Liu L, Liang XJ, Zhao HM. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022 Sep;43(9):1185-1193.Yang XQ, Zhang Y, Wang Q, Liang JQ, Liu L, Liang XJ, Zhao HM. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022 Sep;43(9):1185-1193.Yang XQ, Zhang Y, Wang Q, et al. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022;43(9):1185-1193. doi:10.1177/10711007221099183Yang XQ, Zhang Y, Wang Q, et al. Supramalleolar Osteotomy vs Arthrodesis for the Treatment of Takakura 3B Ankle Osteoarthritis. Foot Ankle Int. 2022;43(9):1185-1193. doi:10.1177/10711007221099183Ma XL, Ma JX, Zhao XW, et al. Intra-articular opening wedge osteotomy for varus ankle arthritis with computer-assisted planning and patient-specific surgical guides: a retrospective case series. BMC Musculoskelet Disord. 2022;23(1):483. Published 2022 May 21. doi:10.1186/s12891-022-05437-zMa XL, Ma JX, Zhao XW, et al. Intra-articular opening wedge osteotomy for varus ankle arthritis with computer-assisted planning and patient-specific surgical guides: a retrospective case series. BMC Musculoskelet Disord. 2022;23(1):483. Published 2022 May 21. doi:10.1186/s12891-022-05437-zLiang J, Yang X, Yue Y, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023;37(7):788-795. doi:10.7507/1002-1892.202303008Liang J, Yang X, Yue Y, et al. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023;37(7):788-795. doi:10.7507/1002-1892.202303008Zhao H, Liang X, Li Y, Yu G, Niu W, Zhang Y. The role of fibular for supramalleolar osteotomy in treatment of varus ankle arthritis: a biomechanical and clinical study. J Orthop Surg Res. 2016;11(1):127. Published 2016 Oct 24. doi:10.1186/s13018-016-0462-2Zhao H, Liang X, Li Y, Yu G, Niu W, Zhang Y. The role of fibular for supramalleolar osteotomy in treatment of varus ankle arthritis: a biomechanical and clinical study. J Orthop Surg Res. 2016;11(1):127. Published 2016 Oct 24. doi:10.1186/s13018-016-0462-2Lee WC. Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy: How and Why?. Foot Ankle Clin. 2016;21(1):27-35. doi:10.1016/j.fcl.2015.09.002Lee WC. Extraarticular Supramalleolar Osteotomy for Managing Varus Ankle Osteoarthritis, Alternatives for Osteotomy: How and Why?. Foot Ankle Clin. 2016;21(1):27-35. doi:10.1016/j.fcl.2015.09.002Rosteius T, Baecker H, Schildhauer TA, Seybold D, Geßmann J. Korrektur posttraumatischer Fehlstellungen der distalen Tibia mithilfe der fokalen Domosteotomie [Correction of posttraumatic deformities of the distal tibia with focal dome osteotomy]. Unfallchirurg. 2018;121(12):976-982. doi:10.1007/s00113-018-0481-zRosteius T, Baecker H, Schildhauer TA, Seybold D, Geßmann J. Korrektur posttraumatischer Fehlstellungen der distalen Tibia mithilfe der fokalen Domosteotomie [Correction of posttraumatic deformities of the distal tibia with focal dome osteotomy]. Unfallchirurg. 2018;121(12):976-982. doi:10.1007/s00113-018-0481-zGuo CJ, Li XC, Hu M, Xu Y, Xu XY. Realignment Surgery for Malunited Ankle Fracture. Orthop Surg. 2017;9(1):49-53. doi:10.1111/os.12312Guo CJ, Li XC, Hu M, Xu Y, Xu XY. Realignment Surgery for Malunited Ankle Fracture. Orthop Surg. 2017;9(1):49-53. doi:10.1111/os.12312Butler JJ, Azam MT, Weiss MB, Kennedy JG, Walls RJ. Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):701-715. doi:10.1007/s00167-022-07144-7Butler JJ, Azam MT, Weiss MB, Kennedy JG, Walls RJ. Supramalleolar osteotomy for the treatment of ankle osteoarthritis leads to favourable outcomes and low complication rates at mid-term follow-up: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2023;31(2):701-715. doi:10.1007/s00167-022-07144-7

The authors declare that there are no conflicts of interest present.