Supra malleolar osteotomy
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A supra-malleolar Tibial osteotomy is used for either a varus or valgus tibial malalignment in the presence of a salvageable osteo-arthritic joint. It can also be used with a normal diaphyseal alignment but intra-articular angular deformity .
If used as an arthritic joint sparing salvage procedure patients will have mild or moderate ankle arthritis only and symptoms commensurate with this.
It should be appreciated that the published results of the technique are fairly sparse.