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Effect of four combined procedures to achieve inframalleolar correction for advanced varus ankle arthritis
  1. Jun Young Choi and
  2. Jin Soo Suh
  1. Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, South Korea
  1. Correspondence to Dr Jun Young Choi; osddr8151{at}


A man in his early 60s with Takakura stage IIIB varus ankle arthritis underwent four combined procedures (Dwyer’s osteotomy with lateral displacement, superficial/deep deltoid ligament release, anterior talofibular ligament/calcaneofibular ligament reconstruction with suture tape augmentation and posterior tibial tendon lengthening). Decreased talar tilt and talar centre lateral shifting and improved hindfoot varus were observed 2 years postoperatively. Also, excellent clinical outcome could be achieved.

  • Orthopaedics
  • Surgery

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  • Contributors JYC performed the operation and conceived of the the study, and wrote the manuscript. JSS participated in its design and coordination.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.