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Updated: Jul 8, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Tibiotalar arthrodesis using a custom blade plate.

Glenn D Wera1, John K Sontich

  • 1MetroHealth Medical Center, Department of Orthopedic Surgery, Case Western Reserve University, Cleveland, Ohio 44106, USA. gwera@yahoo.com

The Journal of Trauma
|January 24, 2008
PubMed
Summary

Tibiotalar arthrodesis using a custom blade plate effectively treats posttraumatic arthritis, showing reliable fusion and good clinical outcomes with no complications. This surgical technique offers a dependable solution for ankle joint reconstruction.

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Trauma Surgery

Background:

  • Tibiotalar arthritis, often posttraumatic, affects ankle joint function.
  • Common causes include tibial plafond and talar body fractures.
  • Surgical intervention is frequently required for pain and dysfunction.

Purpose of the Study:

  • To assess clinical and radiographic results of tibiotalar arthrodesis.
  • To evaluate outcomes in patients with posttraumatic tibiotalar arthritis.
  • To determine the efficacy of a custom blade plate in this procedure.

Main Methods:

  • Retrospective review of 20 patients (21 joints) undergoing tibiotalar arthrodesis.
  • Utilized a custom blade plate via a lateral approach.

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  • Clinical outcomes measured by the American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score.

    • Main Results:

    • 17 ankles (16 patients) available for follow-up (mean 37.3 months).
    • Achieved reliable fusion (mean 3.9 months) with no nonunions or infections.
    • Mean AOFAS score of 78.25, indicating good functional outcomes.

    Conclusions:

    • Tibiotalar arthrodesis with a custom blade plate is a reliable treatment for aseptic posttraumatic arthritis.
    • The lateral approach facilitates successful ankle fusion.
    • This method provides a dependable surgical option for severe tibiotalar joint degeneration.