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Updated: Jul 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Mobile-bearing total ankle arthroplasty
Alastair Younger1, Murray Penner, Kevin Wing
1Department of Orthopaedics, University of British Columbia, 1144 Burrard Street #560, Vancouver, BC, Canada. asyounger@telus.net
Abstract:
Total ankle arthroplasty has followed two major design concepts: Mobile-bearing and constrained. The US Food and Drug Administration has not approved mobile-bearing designs. Therefore most of the experience and design of these replacements has been in Canada and Europe. Hydroxyapatite coats often used in Europe also are not used in the United States. This article focuses primarily on the various design characteristics of the different mobile-bearing designs and reviews the outcome research to date.
