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Updated: Jul 15, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Painful and swollen ankles: no arthritis]
E Reinhold-Keller1, R Wagner-Bastmeyer
1Internistisch-Rheumatologische Gemeinschaftspraxis, Jürgensallee 44, 22609 Hamburg. reinhold-keller@rheuma-spezialisten.de
Abstract:
A 53 year old male patient suffering from painful and swollen ankles showed a large enhancement on skeletal scintigraphy. The DXA bone density values for the neck of the femur and the lumbar vertebrae indicated severe osteoporosis. The conventional diagnostic x-ray revealed stress fractures of both distal tibiae (Looser's transformation zones). The patient had been treated with glucocorticoids for many years because of a liver transplantation. A further risk factor was impaired renal function with a hypovitaminosis D3 and secondary hyperparathyroidism.
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