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Updated: Jun 14, 2026

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

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

Published on: January 24, 2018

Technique tip: subtalar joint fusion using a parallel guide and double screw fixation.

Rick L Scanlan¹, Patrick R Burns, Brandon E Crim

¹Ankle and Foot Centers of Pittsburgh, Pittsburgh, PA, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|April 2, 2010

Summary

This report details a precise technique for subtalar (talocalcaneal) arthrodesis using two screws. The method aims for accurate screw placement to ensure successful fusion of the talus and calcaneus bones.

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Area of Science:

Orthopedic Surgery
Surgical Techniques

Background:

Subtalar (talocalcaneal) arthrodesis is a surgical procedure to fuse the talus and calcaneus bones.
Interfragmental screw fixation is a common method for achieving this fusion.
Accurate screw placement is crucial for successful osteosynthesis and minimizing complications.

Purpose of the Study:

To describe a specific technical method for accurate placement of two screws during subtalar arthrodesis.
To provide guidance that minimizes the risk of aberrant screw placement.
To expedite the process of osteosynthesis in subtalar fusion.

Main Methods:

A technical report describing a method for subtalar arthrodesis.
Utilizes interfragmental screw fixation with precise positioning of two screws across the subtalar joint.

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Emphasizes careful attention to procedural details for optimal screw placement.

Main Results:

The described method enables accurate positioning of two screws for subtalar arthrodesis.
The technique aims to minimize the risk of aberrant screw placement.
The procedure is designed to expedite the osteosynthesis process.

Conclusions:

The described technique offers a reliable approach for accurate screw placement in subtalar arthrodesis.
Adherence to the described tips can improve surgical outcomes and reduce complications.
This method facilitates efficient and effective talocalcaneal fusion.