Outcome analysis of modified lateral malleolar osteotomy for the management of talar body fractures associated with tibial pilon fractures - Takeaways - MDSpire

Outcome analysis of modified lateral malleolar osteotomy for the management of talar body fractures associated with tibial pilon fractures

  • By

  • DeXiang Zhang

  • Xiao Zhong

  • Shaobing Zhang

  • July 13, 2026

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  • 1

    The study evaluated five patients treated with modified lateral malleolar osteotomy for talar body and tibial pilon fractures.

  • 2

    All patients had healed talar fractures by the final follow-up, with a mean time to positive Hawkins sign of 13.2 weeks.

  • 3

    The mean AOFAS score at final follow-up was 77.8 points, with outcomes rated as excellent in one case, good in two, and fair in two.

  • 4

    Posttraumatic arthritis developed in one patient, who managed the associated pain without further intervention.

  • 5

    The modified lateral malleolar osteotomy approach provided adequate exposure for fracture fixation and yielded acceptable short-term outcomes.

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