Corrección de las deformidades del tobillo mediante osteotomía metafisaria distal de tibia

a retrospective, descriptive and non-intervention study was made to evaluate 21 patients treated with metaphyseal osteotomy of distal tibia in "frank país" international scientific orthopedic complex from january,1997 to december, 2001. fourteen patients ere males (66,7 %) and 7 females (33,3 %) for a ratio of 2:1. the predominant deformity was ankle varus in 11 cases (52,3 %), followed by equinovarus foot and equino foot with 4 cases (19 %) and 3 cases (14,3 %) respectively, equinovalgus foot, foot varus and ankle valgus recurvatum with one case each. valgus correcting osteotomy was the most applied in 12 cases (57,1 %); also anterior osteotomy in 4 cases (19 %) and derotation osteotomy in one case (4,8 %); valgus-anterior osteotomy in 2 cases (9.5%), varus-anterior and varus-posterior in one case each (4,8 %). osteotomy of the fibula was performed in the 21 cases (100 %). the results of the treatment were the following: good in 18 cases (85,7 %); regular in 2 cases (9,5 %) and unsatisfactory in one case (4,8 %).