Percutaneous Supramalleolar Osteotomy Using the Ilizarov/Taylor Spatial Frame

  • S. Robert Rozbruch


The supramalleolar osteotomy (SMO) can be used to reposition the ankle and foot by correcting deformity about the ankle. Indications for this procedure include malunion of fracture, stiff nonunion, malunion of ankle fusion, arthrosis of the ankle with talar tilt, growth arrest deformity, and congenital or developmental deformity.1,2

The SMO can be performed in isolation or can be combined with other procedures such as ankle distraction, ankle fusion, or simultaneous lengthening. In general, SMO can be performed with acute or gradual correction, internal or external fixation, and closing, opening, or neutral wedge technique. While a mild to moderate valgus deformity of the ankle can be corrected with a traditional open surgery using a medial closing wedge technique, acute correction, and internal fixation, this technique has limitations and drawbacks. These include the need for open surgery and implantation of hardware, deformity correction limitations, and no postoperative adjustability.


Deformity Correction Varus Deformity Rotational Deformity Gradual Correction Ilizarov Method 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Limb Lengthening and Deformity ServiceHospital for Special SurgeryNew YorkUSA
  2. 2.Associate Professor of Clinical Orthopaedic SurgeryWeill Medical College of Cornell UniversityNew YorkUSA

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