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Updated: Jul 23, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[The medial approach for total hip replacement]
W Thomas1, L Lucente, P Benecke
1Clinica Quisisana, Via Gian Giacomo Porro n. 5, I-OO197, Roma, Italy. Thomas_hip@hotmail.com
Background:
In an anatomical study we investigated the medial approach to the hip joint and developed the surgical technique for patients with hip joint replacement.
Material And Methods:
The temporary detachment of the adductor longus tendon allows a perfect exposure of the surgical site without risk of damaging important structures.
Results:
The operation is possible with normal instruments. The blood loss is little.
Conclusion:
The abductor apparatus (gluteal muscles and fascia lata) and the superior gluteal nerve remain intact. Immediate lateral positioning is allowed after surgery. The scar is unremarkable.

