Posterior closing wedge tibial osteotomy to correct iatrogenic anterior talus dislocation: A surgical case

Abstract

A 67-year-old man presented with persistent ankle pain and instability nine months post excision of anterodistal tibial osteophytes. Radiographs confirmed anterior dislocation of the talus secondary to resection of the articular surface of the tibia. Tibiotalar arthrodesis and total ankle arthroplasty were considered, but joint preservation was desirable due to the patient's active lifestyle and the healthy condition of the remaining articular surface. The patient underwent previously unreported 10-degree posterior closing wedge osteotomy of the distal tibia effectively reducing the subluxation, stabilized the joint, and preserving tibiotalar motion. At 8 months post-op, the patient had resumed his active lifestyle.

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