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Updated: Aug 13, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Hinged silastic implants of the great toe
N S Shankar1, S S Asaad, A D Craxford
1Department of Orthopaedic Surgery, North Tyneside General Hospital, North Shields, Tyne and Wear, England.
Abstract:
Since 1982, hinged silastic implants have been used in the treatment of hallux valgus and hallux rigidus in preference to excision arthroplasty or metatarsophalangeal joint fusion. The results of this treatment in 106 feet in 89 patients are satisfactory to subjective and objective assessment over an average follow-up period of 27.7 months (range, 12-60 months). Hinged prosthesis overcomes the problems associated with resection arthroplasty.
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