Supramalleolar Osteotomy in Patients with Varus Ankle Osteoarthritis

내반 퇴행성 족관절염에 대한 과상부 절골술

  • Lee, Woo-Chun (Department of Orthopaedic Surgery, Seoul Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jung-Rae (Department of Orthopaedic Surgery, Yeungnam University College of Medicine)
  • 이우천 (인제대학교 의과대학 서울백병원 정형외과) ;
  • 김정래 (영남대학교 의과대학 정형외과학교실)
  • Received : 2011.07.19
  • Accepted : 2011.08.16
  • Published : 2011.09.15

Abstract

This article has reviewed the alignment of the ankle and hindfoot in varus ankle osteoarthritis. The indication and surgical technique of the supramalleolar osteotomy has been reviewed. Alignment of tibial plafond and hindfoot is variable in early stages of ankle osteoarthritis. Supramalleolar osteotomy is indicated for the treatment of ankle osteoarthritis in patients with minimal talar tilt and neutral or varus heel alignment.

본 연구는 내반 족관절 퇴행성관절염에서 선열에 대하여 고찰하고, 과상부 절골술의 적응증과 수술술기에 대하여 고찰하였다. 초기 족관절 퇴행성 관절염에서 경골 천장 및 후족부의 선열은 상당히 다양한 형태를 보이며, 과상부 절골술은 거골 경사가 경미하고, 후족부 선열이 중립이거나 내반인 경우가 적응증이다.

Keywords

References

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