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Related Experiment Video

Updated: Jun 3, 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

Ankle fusion using a 2-incision, 3-screw technique.

R P M Hendrickx1, G M M J Kerkhoffs, S A S Stufkens

  • 1Department of Orthopaedic Surgery, Orthopedic Research Center Amsterdam Academic Medical Center, The Netherlands.

Operative Orthopadie Und Traumatologie
|April 2, 2011
PubMed
Summary

This study demonstrates a reliable 2-incision, 3-screw technique for ankle fusion, achieving high success rates and patient satisfaction. The method offers effective correction for ankle joint deformities, leading to positive long-term outcomes.

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Arthrodesis Techniques

Background:

  • Ankle osteoarthritis and deformity often necessitate surgical intervention when conservative treatments fail.
  • Failed ankle arthroplasty may require salvage procedures like ankle fusion.
  • Achieving reliable fusion and optimal alignment is crucial for successful ankle reconstruction.

Purpose of the Study:

  • To evaluate the efficacy and reliability of a specific 2-incision, 3-screw technique for ankle fusion.
  • To assess the outcomes of this technique in patients with symptomatic ankle osteoarthritis, severe deformity, or post-arthroplasty failure.
  • To determine the fusion rates, clinical scores, and complication profile associated with this surgical approach.

Main Methods:

  • The study involved 30 ankle fusions in 26 patients using a 2-incision, 3-screw technique.

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Last Updated: Jun 3, 2026

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  • Surgical steps included osteotomies of the tibia, fibula, and talus for alignment, followed by fixation with lag screws.
  • Postoperative management consisted of casting for 12 weeks, with progressive weight-bearing.

    • Main Results:

    • Radiological and clinical fusion was achieved in 93% of primary arthrodeses.
    • The mean American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot score was 66 ± 12.
    • Patient satisfaction was high at 85%, with a low complication rate of 3% for deep wound infection.

    Conclusions:

    • The 2-incision, 3-screw ankle fusion technique provides reliable and effective long-term results.
    • This method is suitable for a wide range of indications, including severe ankle deformities and post-arthroplasty salvage.
    • The technique offers a high fusion rate, good functional outcomes, and patient satisfaction with minimal complications.