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Related Experiment Video

Updated: Jul 7, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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

Published on: January 24, 2018

Current concepts review: total ankle arthroplasty.

Aaron J Guyer1, Greer Richardson

  • 1Tallahassee Orthopedic Clinic, Tallahassee, FL 32308, USA. aaron.guyer@tlhoc.com

Foot & Ankle International
|March 5, 2008
PubMed
Summary

Total ankle arthroplasty (TAA) use declined due to high failure rates. Renewed interest and new FDA-approved implants offer expanded options, though debate on indications and design continues.

Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Foot and Ankle Surgery in the Diabetic Population.

The Orthopedic clinics of North America·2018
See all related articles

Area of Science:

  • Orthopaedics
  • Biomedical Engineering

Background:

  • First and second-generation total ankle arthroplasties (TAA) were associated with high complication and failure rates, leading many orthopaedic surgeons to favor arthrodesis.
  • Recent advancements, including longer-term outcome studies and new FDA-approved designs, have spurred renewed interest in TAA.
  • The introduction of two new FDA-approved implants in November 2006 significantly expanded surgical options for TAA.

Purpose of the Study:

  • To provide orthopaedists with an overview of currently available total ankle arthroplasty implants.
  • To review the existing literature on TAA outcomes and compare them to arthrodesis.
  • To address the ongoing debate regarding indications, patient selection, and optimal component design for TAA.

Main Methods:

  • Literature review of studies on total ankle arthroplasty outcomes.
  • Analysis of FDA approvals and implant designs for TAA.
  • Synthesis of current evidence regarding TAA complications, failure rates, and comparison with arthrodesis.

Main Results:

  • Historically high failure rates of early TAA designs led to decreased usage.
  • Recent TAA designs show improved outcomes, though long-term data is still evolving.
  • Significant debate persists within the orthopaedic community regarding optimal TAA indications and patient selection.

Conclusions:

  • The landscape of total ankle arthroplasty has evolved with new implant options and emerging outcome data.
  • Careful patient selection and consideration of implant design are crucial for successful TAA.
  • Further research and long-term studies are necessary to fully establish the role of TAA compared to arthrodesis.

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

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Last Updated: Jul 7, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Published on: January 24, 2018

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018