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Related Experiment Video

Updated: Jun 7, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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

Published on: January 24, 2018

Total ankle replacement: why, when and how?

Davide Edoardo Bonasia1, Federico Dettoni, John E Femino

  • 1Mauriziano Umberto I Hospital, Department of Orthopaedics and Traumatology, University of Torino Medical School, Largo Turati 62, 10128, Torino, Italy.

The Iowa Orthopaedic Journal
|November 4, 2010
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Ankle Joint01:10

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...

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Total ankle replacement (TAR) has evolved significantly since the 1970s. Modern TAR offers promising mid-term results, making it a viable alternative to ankle fusion when performed with careful planning and anatomical consideration.

Area of Science:

  • Orthopedic surgery
  • Biomechanical engineering
  • Medical device design

Background:

  • Early total ankle replacement (TAR) attempts in the 1970s yielded poor outcomes, leading to its perceived inferiority compared to ankle fusion.
  • Advancements in implant design since the late 1980s, focusing on replicating natural ankle anatomy, have improved clinical results.

Purpose of the Study:

  • To review the key factors contributing to improved outcomes in total ankle replacement.
  • To emphasize the importance of anatomical knowledge and pre-operative planning for successful TAR.
  • To discuss the current status of TAR as a non-experimental procedure.

Main Methods:

  • Literature review of total ankle replacement studies.
  • Analysis of factors influencing TAR outcomes.

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Published on: January 23, 2018

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Last Updated: Jun 7, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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Published on: January 24, 2018

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

Published on: January 23, 2018

  • Examination of anatomical and biomechanical considerations in TAR.

    • Main Results:

    • Improved patient selection, biomechanical understanding, less-constrained implant designs, and attention to soft-tissue balance enhance TAR success.
    • Modern TAR shows promising mid-term clinical outcomes.

    Conclusions:

    • Total ankle replacement is no longer considered experimental due to improved designs and techniques.
    • A comprehensive understanding of ankle anatomy, pathology, biomechanics, and meticulous pre-operative planning are crucial for durable and predictable TAR outcomes.