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Related Experiment Video

Updated: Jun 4, 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 arthroplasty.

Joseph Soo Park1, Kenneth J Mroczek

  • 1Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.

Bulletin of the NYU Hospital for Joint Diseases
|February 22, 2011
PubMed
Summary

Total ankle arthroplasty is a viable surgical option for ankle arthritis, offering improved outcomes compared to ankle fusion. Newer designs show promise, but careful patient selection is crucial due to potential complications.

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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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering

Background:

  • Ankle arthrodesis (fusion) was the standard for end-stage ankle arthritis.
  • Previous ankle arthroplasty generations had high failure rates due to design and technique limitations.

Purpose of the Study:

  • To evaluate the resurgence and viability of total ankle arthroplasty (TAA) as a treatment for ankle arthritis.
  • To compare modern TAA outcomes with traditional ankle arthrodesis.

Main Methods:

  • Review of advancements in ankle arthroplasty designs and instrumentation.
  • Analysis of early functional outcomes and complication rates of newer TAA generations.
  • Comparison with outcomes of ankle arthrodesis.

Main Results:

  • Newer TAA generations utilize more anatomic and press-fit techniques, improving upon older cemented and constrained designs.
  • Early results indicate improved functional outcomes for TAA compared to ankle arthrodesis.
  • Complication rates for TAA remain substantial, necessitating careful patient selection.

Conclusions:

  • Total ankle arthroplasty is emerging as a viable alternative to ankle arthrodesis for specific patients with ankle arthritis.
  • Continued long-term follow-up studies are required to fully establish TAA's efficacy.
  • Proper patient indication is critical for successful TAA outcomes.

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

Published on: January 23, 2018

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Last Updated: Jun 4, 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

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

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

Published on: January 23, 2018