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Updated: Aug 7, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Proximal tibiofibular synostosis as a source of ankle pain: a case report
Vinayagam Lenin Babu1, Vinayagam Leninbabu, Needhirajan Shenbaga
1Department of Orthopaedics, Manchester Royal Infirmary, Manchester, UK M13 9WL. leninkavitha@hotmail.com
Abstract:
We report the case of a 61-year-old man who presented with ankle pain of unknown etiology. The actual cause for his pain was missed during his two initial visits when only ankle radiographs were taken. During his third visit, a full-length tibia film revealed a proximal tibiofibular synostosis. He successfully underwent a fibular osteotomy with complete symptomatic relief. A literature review of this topic is presented.
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