Reconstructive osteotomy of fibular malunion: review of the literature.

The treatment of ankle fractures has a primary goal of restoring the full function of the injured extremity. Malunion of the fibula is the most common and most difficult ankle malunion to reconstruct. The most frequent malunions of the fibula are shortening and malrotation resulting in widening of the ankle mortise and talar instability, which may lead to posttraumatic osteoarthritis. The objective of this article is to review the literature concerning the results of osteotomies for correcting fibular malunions and to formulate recommendations for clinical practice. van Wensen RJ, van den Bekerom MP, Marti RK, van Heerwaarden RJ. Strategies Trauma Limb Reconstr. 2011 Aug;6(2):51-7. Epub 2011 Apr 6. PMID: 21818702 PDF