Supramalleolar Osteotomies and Distal Tibia Locking Plate Oburu E, University of Nairobi Correspondence to: Dr Ezekiel Oburu, Email: oburue@yahoo.com Management of distal tibial and ankle joint deformities is a challenge. Most of these deformities arise from distal tibial malunions.Supramalleolar osteotomies are performed to realign the distal tibia and to improve foot and ankle function.Conventional surgical techniques such as open osteotomies with internal fixation (opening or closing wedge) can be utilized. We discuss three patients with distal tibia malunion who were managed by Supramalleolar osteotomy plus distal tibia locked plate.