Safe Zone for Medial Open-Wedge Supramalleolar Osteotomy of the Ankle: A Cadaveric Study
DC Field | Value | Language |
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dc.contributor.author | Nha, Kyung Wook | - |
dc.contributor.author | Lee, Soon Hyuck | - |
dc.contributor.author | Rhyu, Im Joo | - |
dc.contributor.author | Kim, Hak Jun | - |
dc.contributor.author | Song, Jae Gwang | - |
dc.contributor.author | Han, Jae Hwi | - |
dc.contributor.author | Yeo, Eui Dong | - |
dc.contributor.author | Lee, Young Koo | - |
dc.date.accessioned | 2021-09-04T04:36:34Z | - |
dc.date.available | 2021-09-04T04:36:34Z | - |
dc.date.created | 2021-06-18 | - |
dc.date.issued | 2016-01 | - |
dc.identifier.issn | 1071-1007 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/89994 | - |
dc.description.abstract | Background: The purpose of this present study was to determine the incidence of lateral cortical fracture depending on the plane of osteotomy in medial open-wedge supramalleolar osteotomy (SMO) and to define a safe zone through which a medial open-wedge SMO could be performed with minimal risk of lateral cortical fracture. Materials and Methods: Matched pairs of fresh-frozen human cadaver lower leg specimens were obtained from 7 males and 3 females (average age = 63.9 [range 49-75] years). In group A, a safe zone-level medial open-wedge SMO (plane of osteotomy oriented to the proximal one-third of the intrasyndesmosis) was performed, and in group B, a higher-level medial open-wedge SMO (plane of osteotomy oriented to the suprasyndesmosis) was performed. Results: In group A, 7 of the 10 limbs had no lateral cortical fracture, and 3 had lateral cortical fracture, but all of the fractured limbs were stable during the medial open-wedge SMO procedure. In group B, 2 of 10 limbs had no lateral cortical fracture and 8 had lateral cortical fracture. Three of the 8 fractured limbs were stable, but 5 were unstable during the medial open-wedge SMO procedure. The incidence of lateral cortical fracture in group B was significantly higher compared to group A (P = .04). Conclusions: According to the present findings, lateral cortical fracture was less likely to occur when open-wedge SMO was at the plane of the proximal one-third of the intrasyndesmosis, the so-called safe zone, than at the plane of the suprasyndesmosis. Clinical Relevance: A safe zone for medial open-wedge SMO to prevent lateral cortical fracture during the medial open-wedge SMO procedure was identified. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SAGE PUBLICATIONS INC | - |
dc.subject | TIBIAL ANGULAR DEFORMITIES | - |
dc.subject | VARUS | - |
dc.subject | JOINT | - |
dc.subject | FRACTURE | - |
dc.subject | FIBULA | - |
dc.title | Safe Zone for Medial Open-Wedge Supramalleolar Osteotomy of the Ankle: A Cadaveric Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Soon Hyuck | - |
dc.contributor.affiliatedAuthor | Rhyu, Im Joo | - |
dc.contributor.affiliatedAuthor | Kim, Hak Jun | - |
dc.identifier.doi | 10.1177/1071100715597438 | - |
dc.identifier.scopusid | 2-s2.0-84952891509 | - |
dc.identifier.wosid | 000367842200017 | - |
dc.identifier.bibliographicCitation | FOOT & ANKLE INTERNATIONAL, v.37, no.1, pp.102 - 108 | - |
dc.relation.isPartOf | FOOT & ANKLE INTERNATIONAL | - |
dc.citation.title | FOOT & ANKLE INTERNATIONAL | - |
dc.citation.volume | 37 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 102 | - |
dc.citation.endPage | 108 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | TIBIAL ANGULAR DEFORMITIES | - |
dc.subject.keywordPlus | VARUS | - |
dc.subject.keywordPlus | JOINT | - |
dc.subject.keywordPlus | FRACTURE | - |
dc.subject.keywordPlus | FIBULA | - |
dc.subject.keywordAuthor | supramalleolar osteotomy | - |
dc.subject.keywordAuthor | lateral cortical fracture | - |
dc.subject.keywordAuthor | safe zone | - |
dc.subject.keywordAuthor | plane of osteotomy | - |
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