Management of Ankle and Hindfoot Deformities by Supramalleolar Osteotomy: Systematic Review

Deformities in foot and ankle characterized by many causes of congenital, traumatic and neurologic pathologies. Conventional techniques can surgically correct the deformities of the club feet, but adult deformities and burn contractures are hard to be controlled This article aimed to review the literature of management of ankle and hindfoot deformities by supramalleolar osteotomy systematic review. Electronic databases have been searched from 2010 to 2020. All available studies concerning the management of ankle and hindfoot deformities by supramalleolar osteotomy have been reviewed. Mean age from all studied article's was 48.58±15.22 and males were 47.8% and 52.2% were females. As regarding time of union per weeks, pooled analysis showed that the mean time for union (14.87±3.85). As regarding hind foot moment arm (HMA) score evaluation before and after treatment. All studies showed significant decrease regarding HMA with pooled decrease from 4.36±1.36 to 2.36±0.75. As regarding TAS (tibial anterior surface) assessment, all studies showing significant increase regard TAS with pooled increase from 83.0±4.98 and 91.1±3.9, also TLS (tibial lateral surface angle), all studies showed no significant regard TLS with pooled increase from 78.0±8.88 and 81.2±10.2. Supramalleolar osteotomy corrects the deformity of the ankle with improved functional outcome and restore the disturbed mechanics. Our systemic review declared that supramalleolar osteotomy is effective technique for dealing with hind foot deformities.