Procedures for Hindfoot Axis Deviations

Abstract

Supramalleolar osteotomies have the greatest effect for correction of varus or valgus deformity at the ankle joint. This creates optimal load transfer in cases of imminent or existing cartilage damage and compartmentalized varus or valgus arthritis patterns. A medial approach is made with the patient supine. For opening wedge osteotomies, cancellous bone grafting is always necessary. New locking plates have eliminated the need to implant corticocancellous bone wedges, which take longer to heal than cancellous grafting alone.