{"title":"Fibular Malunion","authors":"Tim Schepers, Jens A. Halm","doi":"10.1016/j.fcl.2023.10.001","DOIUrl":null,"url":null,"abstract":"Malunions of the fibula are caused by malreduction during initial surgical management or the result of nonoperative treatment of an unstable ankle fracture. They can cause significant changes in loading of the ankle and subsequently lead to arthritic changes. Timely recognition of abnormal anatomy and corrective osteotomy yields favorable results. The current review addresses the anatomy and biomechanics of the ankle and the effects of a malunited fibula fracture. The radiological workup is discussed as well as the technique of the osteotomy. Last, the authors highlight the expected outcome and possible complications for an optimal informed consent of the patient.","PeriodicalId":56080,"journal":{"name":"Foot and Ankle Clinics","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Foot and Ankle Clinics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.fcl.2023.10.001","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0
Abstract
Malunions of the fibula are caused by malreduction during initial surgical management or the result of nonoperative treatment of an unstable ankle fracture. They can cause significant changes in loading of the ankle and subsequently lead to arthritic changes. Timely recognition of abnormal anatomy and corrective osteotomy yields favorable results. The current review addresses the anatomy and biomechanics of the ankle and the effects of a malunited fibula fracture. The radiological workup is discussed as well as the technique of the osteotomy. Last, the authors highlight the expected outcome and possible complications for an optimal informed consent of the patient.
期刊介绍:
Foot and Ankle Clinics updates you on the latest trends in orthopedic patient management, keeps you up to date on the newest surgical advances, and provides a sound basis for choosing treatment options. Published four times a year—in March, June, September, and December—each issue focuses on a single topic in foot and ankle surgery, from fractures, dislocations, sprains, and amputations, through arthritis, nerve disorders, and congenital deformities. Foot and Ankle Clinics has been edited by Mark S. Myerson, one of the world''s foremost experts on foot and ankle reconstruction and injury, since 1995.