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Updated: Aug 23, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Pantalar arthrodesis
Vincent J Mandracchia1, Denise M Mandi, W Ashton Nickles
1Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314, USA. vmandracchia@broadlawns.org
Abstract:
Pantalar arthrodesis is a demanding procedure that serves a useful purpose for stabilization of the ankle, rearfoot, and midfoot. These fusions should be recognized as salvage procedures in the treatment of unstable and debilitating conditions as a result of severe degenerative joint disease, rheumatoid arthritis, neuropathic joint destruction, and paralytic or flail extremity dysfunction. As with all salvage-type procedures, patient and physician expectations must be the same to afford an acceptable and functional postoperative result.
