Abstract
The medial malleolar osteotomy has been a time-tested technique to approach the medial and anterior aspects of the talus for cases of talus fractures and the osteochondral lesions of the talus. The precision of osteotomy, safety to the inherent articular cartilage, and maintenance of vascularity to the talus are prime concerns of the procedure, failing which instability, early ankle osteoarthritis, or avascular necrosis of the talus become inevitable. Here we describe a couple of modifications to decrease the chances of such complications. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.
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