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Updated: Jun 9, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Technical guide: transfibular ankle arthrodesis with fibular-onlay strut graft
Wenjay Sung1, Robert M Greenhagen, Kimberlee B Hobizal
1University of Pittsburgh Medical Center, UPMC Mercy, Pittsburgh, PA 15219, USA. Wenjay.sung@gmail.com
Abstract:
A wide range of techniques have been described for ankle arthrodesis, and although all of these have been shown to provide stability, few have been shown to achieve a solid construct in patients at risk of nonunion. In this technical guide, we describe a modified transfibular approach to ankle arthrodesis that uses a fibular-onlay strut graft for use in patients at high risk for nonunion. In our experience, the technique has been effective and reliable.
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