J Korean Foot Ankle Soc.  2014 Dec;18(4):141-146. 10.14193/jkfas.2014.18.4.141.

Low Tibial Osteotomy

Affiliations
  • 1Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. sjs0506@paik.ac.kr

Abstract

Low tibial osteotomy is an extra-articular procedure that realigns the mechanical axis, restoring ankle function. It is also an alternative surgical procedure to manage early osteoarthritis of the ankle joint. This can mainly address ankle varus/valgus, as well as procurvatum/recurvatum, internal/external rotation, equinus, calcaneus, and limb length discrepancy. The authors describe the history, mechanism, indications, and limitations of low tibial osteotomy focused on osteoarthritis of the ankle with varus malalignment reviewing several articles published thus far.

Keyword

Supramalleolar osteotomy; Ankle; Osteoarthritis

MeSH Terms

Ankle
Ankle Joint
Axis, Cervical Vertebra
Calcaneus
Extremities
Osteoarthritis
Osteotomy*

Figure

  • Figure 1. (A) Tibial anterior surface angle (TAS) is the angle between tibial axis and distal tibial articular surface on the weightbearing anteroposterior image. (B) Tibial-lateral surface angle (TLS) is the same angle on the weight-bearing lateral image.


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