Supramalleolar Osteotomy: Indications and Surgical Techniques

Abstract

Supramalleolar osteotomies are a surgical treatment option for asymmetric varus or valgus ankle arthritis where at least 50% of the joint surface is spared. Procedure selection requires significant preoperative planning for appropriate execution. Thus, the surgeon must be familiar with the principles of deformity correction. With appropriate patient selection and proper preoperative planning, the procedure has been shown to yield excellent results, redistributing forces more evenly across the ankle joint by restoring the mechanical axis of the lower leg with minimal complications.

Keywords: Ankle arthritis; Ankle realignment surgery; Asymmetric arthritis; Joint-preserving surgery; Supramalleolar osteotomy; Tibiotalar joint; Varus ankle.