Posteromedial structure protection during ankle replacement: Surgical technique.
Orthop Traumatol Surg Res 2022;
108:103394. [PMID:
36084913 DOI:
10.1016/j.otsr.2022.103394]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 11/13/2021] [Accepted: 11/30/2021] [Indexed: 02/03/2023]
Abstract
Residual pain after ankle replacement may implicate lesions in posteromedial structures, including the posterior tibial pedicle and tendon. The technique described here protects these structures, by positioning a malleable plate via a medial retromalleolar counter-approach. The technique seems not to cause any specific iatrogenicity. We advocate systematic implementation of this kind of protection in ankle replacement surgery. LEVEL OF EVIDENCE: IV, retrospective study.
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