Foot and Ankle Surgery
Volume 13, Issue 3 , Pages 157-160, 2007

Varus deformity of the ankle in a pre-adolescent patient following an ankle fracture:

Correction by using the tibia opening wedge osteotomy plate (Puddu Plate)

Fremantle Orthopaedic Unit, Level 6 B Block, Alma St University of Western Australia, Fremantle, Western Australia 6160, Australia

Received 10 January 2006; received in revised form 7 September 2006; accepted 6 February 2007.

Abstract 

In pre-adolescent patients supramalleolar osteotomies have been described to correct deformities following ankle fractures. However, the techniques described involve the harvesting of an iliacal graft. We report on a case of a 14-year-old girl who sustained a complex ankle fracture with a resultant hindfoot varus. The medial opening was maintained by using a plate with a metallic block interposed in the osteotomy plane (Puddu Plate).

Keywords: Distal tibia osteotomy, Ankle varus, Puddu Plate

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PII: S1268-7731(07)00024-0

doi:10.1016/j.fas.2007.02.001

Foot and Ankle Surgery
Volume 13, Issue 3 , Pages 157-160, 2007