Distal tibial transphyseal osteotomy for ankle varus deformity in an operated case of clubfoot.

Ankle varus deformity arises due to a number of congenital and acquired causes leading to significant functional debility in the patients, especially children. We report a less commonly used technique, the transphyseal osteotomy of distal tibia, for the correction of varus deformity of the ankle joint in a thirteen-year-old boy. Full correction of the deformity could be achieved using this technique. The patient is fully functional with normal gait. No recurrence was detected at follow-up visit 26 months later.

Surgical management of paralytic valgus ankle

The aim of this work is to determine the. protocol of treatment of paralytic valgus ankle secondary to poliomyelitis in twenty two patients. Hindfoot valgus can occur at subtalar joint, ankle joint or at both sites. Valgus ankle is characterized clinically by prominent medial malleolus and radiologically by a triade of: Fibular shortening, lateral wedging of the distal tibial epiphysis and lateral talar tilt. Sixteen cases were treated by supramalleolar osteotomy, four cases by fibular achilles tenodesis and three cases by internal fixation for fibular pseudarthrosis [one of them was followed by supramalleolar osteotomy]. There was improvement of hind foot valgus and talar tilt in all cases