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Updated: Jun 12, 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

Proximal metatarsal resection.

L García-Bordes¹, M Jiménez-Potrero, F Collado-Sáenz

¹Department of Orthopaedic Surgery and Traumatology, Hospital General de Granollers, Granollers, Barcelona, Spain. lluisgarbo@yahoo.com

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons

|May 21, 2010

Summary

Proximal metatarsal resection effectively corrects MTP joint imbalance and reduces pain in metatarsalgia patients. This simple procedure offers significant improvement without complications, allowing for early weight-bearing.

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Area of Science:

Orthopaedic Surgery
Podiatric Medicine
Biomechanics

Background:

Metatarsalgia often requires surgical intervention when conservative treatments fail.
Abnormal pressure distribution across the MTP joint leads to pain and functional limitations.

Purpose of the Study:

To evaluate the efficacy of proximal tarso-metatarsal joint resection for biomechanical realignment.
To assess the procedure's effectiveness in correcting weight imbalance and alleviating metatarsalgia.

Main Methods:

Retrospective study of 40 feet (36 patients) undergoing proximal metatarsal resection between 1997 and 2005.
Evaluation of 86 osteotomies using the American Orthopaedic Foot and Ankle Society (AOFAS) Lesser Metatarsophalangeal-Interphalangeal Scale Score.

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Last Updated: Jun 12, 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

Main Results:

Achieved a 10-15 degree correction with an average 2mm resection.
Mean AOFAS score improved from 35.75 to 88.4, a gain of 52.65 points.
97.5% of patients experienced pain improvement with no major complications requiring revision surgery.

Conclusions:

Proximal metatarsal resection is a straightforward technique for correcting MTP joint pressure distribution.
The procedure effectively manages metatarsalgia without the need for internal fixation.
Early weight-loading and biomechanical correction are facilitated by this surgical approach.