Related Experiment Video
Updated: Aug 12, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Anterior tibiotalar impingement associated with chronic ankle instability
1Royal Hospital Haslar, Gosport, Hampshire PO12 2AA, UK.
Summary
Surgical treatment combining arthroscopic debridement and open ankle stabilization effectively resolved chronic ankle instability and anterior bony impingement in athletes. This combined approach led to stable ankles, improved range of motion, and prevented impingement recurrence.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Ankle Arthroscopy
Background:
- Chronic ankle instability often coexists with anterior bony impingement, causing pain and limited motion.
- Recurrence of impingement can occur after debridement alone, highlighting the need for stabilization.
- Athletes, both professional and recreational, are particularly susceptible to these conditions.
Purpose of the Study:
- To evaluate the efficacy of combined arthroscopic debridement and open Brostrom-Gould ankle stabilization for chronic ankle instability with anterior bony impingement.
- To assess the functional and mechanical outcomes, including range of motion and stability.
- To determine the recurrence rate of impingement after the combined surgical procedure.
Main Methods:
- Surgical treatment of 13 athletes with chronic ankle instability and anterior bony impingement.
- Arthroscopic debridement of anterior osteophytes.
- Open Brostrom-Gould ankle stabilization procedure.
- Follow-up assessment at a mean of 12 months (range 4-23 months).
Main Results:
- All 13 patients achieved mechanically and functionally stable ankles post-surgery.
- A mean improvement of 12.4 degrees in the range of dorsiflexion was observed.
- Subjective and functional outcomes improved in all but one patient.
- No recurrences of anterior bony impingement were reported during the follow-up period.
Conclusions:
- Combined arthroscopic debridement and open ankle stabilization is an effective treatment for chronic ankle instability with anterior bony impingement in athletes.
- This surgical approach leads to stable ankles, improved function, and a reduced risk of impingement recurrence.
- The findings suggest that addressing both instability and impingement simultaneously yields superior outcomes.
Related Concept Videos
01:10Ankle Joint
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
01:28Muscles of the Leg that Move the Foot and Toes
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles.