ArticleArchives of orthopaedic and trauma surgery2023
Medial oblique malleolar osteotomy for approach of medial osteochondral lesion of the talus.
Article in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Prediction of the exposure range of the talar dome in open surgery for osteochondral lesions of the talus.Journal of orthopaedic surgery and research · 2026Article
- Arthroscopic techniques in ankle surgery.Operative Orthopadie und Traumatologie · 2025Review
- Open Lift, Drill, Fill, and Fix (LDFF) for Chronic Osteochondral Lesions of the Talus: Favorable 2-Year Clinical Outcomes.Orthopaedic journal of sports medicine · 2025Article
- Acute on chronic stress fracture after a medial malleolar osteotomy following osteochondral lesion of the talus treatment.BMJ case reports · 2025Article
- Comparison of two versus three-screw fixation for biplanar chevron medial malleolar osteotomy.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Medial malleolar osteotomy in the treatment of osteochondral lesions of the Talus - incidence and impact on functional outcome: a retrospective analysis based on data from the German Cartilage Register (KnorpelRegister DGOU).BMC musculoskeletal disorders · 2024Article
- Typical Complications After Cartilage Repair of the Ankle Using Autologous Matrix-Induced Chondrogenesis (AMIC).Foot & ankle orthopaedics · 2023Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe medial malleolar osteotomy is commonly performed to gain access to the medial talar dome for treatment of osteochondral lesions of the talus. The primary aim of this study was to assess osseous healing based on postoperative radiographs to determine consolidation, non-union and malreduction rates.
methodsSixty-seven cases were reviewed where an oblique uniplanar medial malleolar osteotomy was performed to gain access to the medial talar dome for addressing an osteochondral lesion. Two, respectively three fully threaded 3.5 mm corticalis screws were used to fixate the osteotomy. Postoperative radiographs were reviewed to assess consolidation, non-union, malreduction and dislocation of the osteotomy.
resultsOut of 67 patients, 66 patients had a consolidation of the osteotomy. 23.9% of the cases showed malreduction of the osteotomy. One patient suffered a non-union, which required a revision surgery. No significant difference was shown between two and three screws used for fixation in terms of malreduction and consolidation of the osteotomy. Eighty-four percent of the patients underwent hardware removal due to pain or medial impingement.
conclusionThe oblique medial malleolar osteotomy is a safe and relatively simple procedure with a high consolidation rate and low revision providing excellent exposure of the talus. The moderately high malreduction rate and required hardware removal surgery by most of the patients are relevant factors which should be considered before performing this surgery. LEVEL OF EVIDENCE: Level III, retrospective cohort study.
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