{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T09:13:45Z","timestamp":1776503625242,"version":"3.51.2"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T00:00:00Z","timestamp":1686355200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,29]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>The treatment of end-stage ankle arthritis associated with extra-articular tibial deformity, especially for ankles deformed by previous traumatic injuries and\/or surgical treatment, is extremely challenging but rewarding. Only one previous report describes simultaneous tibial deformity correction and ankle arthrodesis for tibial malalignment and ipsilateral ankle arthritis. Here, we describe a unique case of post-traumatic ankle osteoarthritis concomitant with extra-articular varus deformity in a 77-year-old female. We have combined medial opening-wedge supramalleolar osteotomy (SMO) and lateral closed-wedge SMO in this case, which we termed \u2018hybrid\u2019 closed-wedge SMO, to overcome the limitations of traditional closed-wedge SMO. The patient was successfully treated with simultaneous hybrid closed-wedge SMO and ankle arthrodesis using a single lateral locking plate. To our knowledge, this is the first report describing the successful introduction of a hybrid closed-wedge osteotomy procedure in the distal tibia. Three years after surgery, the patient could walk without assistance and swim normally. The patient experienced no discomfort or pain in the operated ankle and was satisfied with the results. Radiographs confirmed that the pre-existing ankle joint line was parallel to the ground and almost invisible. The hind foot alignment was slightly valgus. No progression of the subtalar joint arthritis was detected. The simultaneous hybrid closed-wedge SMO and ankle arthrodesis was technically difficult but effective. This technique preserves leg length and subtalar joint motion. Additionally, a single lateral incision minimises the risk of impaired blood supply. The one-stage surgical treatment reduces the recovery time, duration of hospitalisation, and surgical costs. Rigid locking fixation with careful postoperative weight-bearing is required for uneventful bone healing.<\/jats:p>","DOI":"10.1093\/mrcr\/rxad033","type":"journal-article","created":{"date-parts":[[2023,6,10]],"date-time":"2023-06-10T14:38:41Z","timestamp":1686407921000},"page":"37-42","source":"Crossref","is-referenced-by-count":1,"title":["Simultaneous hybrid closed-wedge supramalleolar osteotomy and\u00a0ankle arthrodesis for\u00a0post-traumatic varus ankle arthritis with periarticular deformity: A case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3919-2188","authenticated-orcid":false,"given":"Hayato","family":"Kobayashi","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Fujieda Heisei Memorial Hospital , Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoji","family":"Shido","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Fujieda Heisei Memorial Hospital , Shizuoka, Japan"},{"name":"Department of Orthopaedic Surgery, Hamamatsu University School of Medicine , Shizuoka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,6,10]]},"reference":[{"key":"2023122911392246400_R1","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1177\/1071100713494380","article-title":"Comparison of\u00a0practice patterns in\u00a0total ankle replacement and\u00a0ankle fusion in\u00a0the United States","volume":"34","author":"Terrell","year":"2013","journal-title":"Foot Ankle Int"},{"key":"2023122911392246400_R2","doi-asserted-by":"crossref","first-page":"700","DOI":"10.5312\/wjo.v7.i11.700","article-title":"Ankle arthrodesis: a systematic approach and\u00a0review of\u00a0the literature","volume":"7","author":"Yasui","year":"2016","journal-title":"World J Orthop"},{"key":"2023122911392246400_R3","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.2106\/00004623-198769070-00014","article-title":"The optimum position of\u00a0arthrodesis of\u00a0the ankle. 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