Stretching the indications: high tibial osteotomy used successfully to treat isolated ankle symptoms
High tibial osteotomy (HTO) is successful in treating symptomatic varus arthritis of the knee. We present a case where ankle pain and instability were attributed to varus ankle malalignment. This was found to be secondary to constitutional varus of the proximal tibia but the patient's knee was...
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| Veröffentlicht in: | BMJ case reports 2013-09, Vol.2013, p.bcr2013200527 |
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| creator | Elson, David W Paweleck, James E Shields, David W Dawson, Matthew J Ferrier, Gail M |
| description | High tibial osteotomy (HTO) is successful in treating symptomatic varus arthritis of the knee. We present a case where ankle pain and instability were attributed to varus ankle malalignment. This was found to be secondary to constitutional varus of the proximal tibia but the patient's knee was asymptomatic. The decision to operate on an asymptomatic knee in the hope of improving ankle symptoms took a period of careful consideration, planning and discussion. HTO was performed without immediate complication and the patient reported an excellent outcome with marked improvement in Mazur's foot and ankle score from 18 to 85. In well selected and planned cases, HTO may be considered as an instrument of deformity correction with improvement in symptoms from joints distant to the surgical site. |
| doi_str_mv | 10.1136/bcr-2013-200527 |
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We present a case where ankle pain and instability were attributed to varus ankle malalignment. This was found to be secondary to constitutional varus of the proximal tibia but the patient's knee was asymptomatic. The decision to operate on an asymptomatic knee in the hope of improving ankle symptoms took a period of careful consideration, planning and discussion. HTO was performed without immediate complication and the patient reported an excellent outcome with marked improvement in Mazur's foot and ankle score from 18 to 85. 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| subjects | Ankle Ankle Joint Arthralgia - etiology Arthritis Bone Diseases, Developmental - complications Bone Diseases, Developmental - surgery Europe (West) Foot diseases Humans Joint Instability - etiology Joint Instability - surgery Joint surgery Knee Male Middle Aged Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Orthopedics Osteochondrosis - complications Osteochondrosis - congenital Osteochondrosis - surgery Osteotomy - methods Pain Patients Surgeons Tibia - surgery Treatment Outcome White |
| title | Stretching the indications: high tibial osteotomy used successfully to treat isolated ankle symptoms |
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