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This study aims to evaluate the effectiveness of medial malleolus triple-plane osteotomy combined with iliac bone grafting for large talar cysts.

April 11, 2026Orthopaedic SurgeryOpen Access

Medial Malleolus Triple‐Plane Osteotomy With Autologous Iliac Bone Grafting for the Treatment of Talar Cysts

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This study aims to evaluate the effectiveness of medial malleolus triple-plane osteotomy combined with iliac bone grafting for large talar cysts.
Retrospective case series of patients with talar cysts larger than 10 mm treated between February 2021 and March 2023.
Surgical intervention involved medial malleolus triple-plane osteotomy with autologous iliac bone grafting.
Postoperative outcomes assessed included pain, functional scores, and radiological healing.
Statistical analyses using paired t-tests compared preoperative and final follow-up outcomes.
All nine patients achieved primary wound healing with no neurovascular injuries.
Significant improvement in VAS scores (p < 0.05) and functional scores at final follow-up.
Radiological healing indicated complete absorption of osteotomy lines and progressive graft assimilation by 12 months.

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Retrospective case series reveals effective pain reduction and functional improvement in patients with talar cysts.

Teng et al. (2026) studied this question.

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