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Related Experiment Video

Updated: Jul 2, 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

An approach to the failed ankle arthrodesis.

Steven M Raikin1, Venkat Rampuri

  • 1Orthopaedic Surgery, Jefferson Medical College, Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, PA 19107, USA. steven.raikin@rothmaninstitute.com

Foot and Ankle Clinics
|August 12, 2008
PubMed
Summary

Ankle arthrodesis is the top surgical treatment for severe ankle arthritis. This paper details preventing and managing complications like infection or nonunion to restore function.

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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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Biomechanical Engineering

Background:

  • Ankle arthrodesis is the gold standard for advanced ankle joint arthritis.
  • Complications such as infection, nonunion, and malunion can lead to persistent pain and functional deficits.

Purpose of the Study:

  • To present a systematic approach for preventing and managing complications following ankle arthrodesis.
  • To guide surgeons in achieving successful revision arthrodesis for salvaged ankle function.

Main Methods:

  • Review of current literature and clinical best practices for ankle arthrodesis.
  • Systematic analysis of failure modes including infection, nonunion, and malunion.
  • Emphasis on biomechanical principles and meticulous surgical technique for revision procedures.

Related Experiment Videos

Last Updated: Jul 2, 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

Main Results:

  • A structured protocol for complication prevention and management is outlined.
  • Revision arthrodesis, when guided by understanding of alignment, mechanics, and failure etiology, can salvage function.
  • Successful outcomes are achievable through careful planning and execution.

Conclusions:

  • A systematic approach enhances the prevention and management of ankle arthrodesis failures.
  • Understanding and addressing the root cause of failure are critical for successful revision surgery.
  • Restoration of ankle function is possible even after initial surgical setbacks.