Ankle Osteotomy

Ankle Osteotomy

Explore the benefits of best ankle osteotomy surgery in Delhi to correct deformities and prevent arthritis progression. Learn how this advanced procedure realigns the ankle joint, reduces pain, and improves mobility for long-term joint health.

Supra-malleolar osteotomy is a special limb re-alignment surgery performed almost exclusively in the management of and for treatment of selected chronic ankle deformities that have the propensity to cause or contribute to ankle arthritis. This procedure is particularly important in cases of unequal standing of the talus bone that is vital for the movement and stability of an ankle. If the talus moves in an anterior or posterior direction or if it starts to face medially or laterally, the force applied on the joint surface of the ankle joint will not be evenly distributed and as a result, forces acting on the cartilage will be increased and promptly painful osteoarthritis begins.

Addressing Varus and Valgus Deformities ::
In varus deformity of ankle joint where the ankle joint lies medially there is bending of the lower end of the tibia, for such cases medial opening osteotomy or lateral closing osteotomy is done. This frequently entails a combined fibula osteotomy, for the reason of controlling simultaneously the balance inside the joint. By the same token, varus deformities of the ankle or a malaligned joint that bends inward needs medial closing or lateral opening osteotomy with fibula osteotomy. In all these cases, there is necessity of fixation with a plate so as to maintain the new alignment as the tissue heals.

Goals and Benefits of Supra-malleolar Osteotomy ::
The general purpose of supra-malleolar osteotomy is to redoistribute the loading line from the regions of the articular cartilage that was injured to those that remain healthy. This redistribution of forces not only aids in the treatment of pain but is also very useful in the preservation of the ankle joint and possibly preventing the onset of a total ankle replacement.

Post-Traumatic Ankle Deformities ::
Disorders that occur after a trauma, including malunited tibial plafond fractures, can lead to deformity that alters the customary operations of the ankle joint. Also, malleolar fractures together with syndesmosis injuries that are the ligaments interconnecting tibia to fibula, if not treated correctly will result lateral shift of the talus. This mal-alignment results in point loading to the talar dome which leads to wear and tear and the development of arthritis.

To review Supra-malleolar Osteotomy as a salvage procedure ::
If arthritis has occurred in the ankle joint from these conditions, a supra-malleolar osteotomy is an excellent salvage operation. As with any deformity, there are pains which stem from the irregularity and this surgery helps in correcting this deformity as well as realigning the bones so that the joint is able to develop some load bearing enable the patient and reduce discomfort so as to be able to continue with an active lifestyle. This procedure has been found to be valuable specifically for young and active patients who will do anything that is possible to avoid joint replacement.

Postoperative Care and Rehabilitation ::
After the procedure of supra-malleolar osteotomy we need to follow up and prescribe a rehabilitation process that aims at improving the limb’s function, and ensuring the success and sustainability of the procedure. This involves physical therapy which is focused with the muscles around the ankle joint in efforts to build strength and endurance; mobilization and progressive weight bearing exercises. The treatment that is delivered during the recovery phase is critical for the best results as well as enhancing the durability of the surgical intervention.

Thus, supra-malleolar osteotomy is a flexible and an effective method of addressing ankle deformity and slowing down the development of ankle arthrosis. As the technique targets the fundamentals of joint malalignment and reallocation of weight-bearing forces, it is a great relief from pain and a large improvement from a patient with an involved ankle pathology.