Reverse Chevron Transmalleolar Osteotomy for Exposure of the Medial Talar Dome Lesions - Operative Technique -

역 갈매기형 내과 절골술을 이용한 거골 원개 내측 병변에의 접근 -수술 방법-

  • Cho, Seong-Beom (Department of Orthopaedic Surgery, Chonnam National University Medical School) ;
  • Lee, Keun-Bae (Department of Orthopaedic Surgery, Chonnam National University Medical School) ;
  • Choi, Jin (Department of Orthopaedic Surgery, Chonnam National University Medical School) ;
  • Kim, Byeong-Soo (Department of Orthopaedic Surgery, Chonnam National University Medical School) ;
  • Choi, Min-Sun (Department of Orthopaedic Surgery, Chonnam National University Medical School)
  • 조성범 (전남대학교 의과대학 정형외과학교실) ;
  • 이근배 (전남대학교 의과대학 정형외과학교실) ;
  • 최진 (전남대학교 의과대학 정형외과학교실) ;
  • 김병수 (전남대학교 의과대학 정형외과학교실) ;
  • 최민선 (전남대학교 의과대학 정형외과학교실)
  • Published : 2006.12.01

Abstract

For the adequate intraarticular exposure in medial talar dome lesions, medial malleolar osteotomy is necessary in some cases. Many operative techniques including transverse, oblique, inverted V-shape, crescentic and step-cut osteotomies of the medial malleolus have been described previously. But their techniques have several problems such as nonunion, rotation and limited access to lesions. So we introduce the new reverse chevron medial malleolar osteotomy which provides excellent access to lesions, good stability and a broad cancellous surface for rapid healing.

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