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Updated: Jun 2, 2026
09:01
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Ankle arthroplasty: indications and current state]
P Lechler1, J Grifka, F X Köck
1Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie, Asklepios Klinikum Bad Abbach, Universität Regensburg, Kaiser Karl V Allee 3, 93077 Bad Abbach, Deutschland. p.lechler@asklepios.com
Der Orthopade
|May 13, 2011
Summary
Trauma and inflammatory diseases can cause ankle arthritis. Modern total ankle replacement offers an alternative to fusion, but requires careful patient selection and surgical technique.
Area of Science:
- Orthopedics
- Biomechanics
- Arthroplasty
Context:
- Ankle arthritis is often caused by antecedent trauma, chronic inflammatory diseases, osteonecrosis, or idiopathic arthritis.
- Joint fusion has been the traditional surgical treatment for symptomatic ankle arthritis.
- Early total ankle replacement attempts in the 1970s had high complication and revision rates.
Purpose:
- To review the evolution of total ankle replacement (TAR) as an alternative to ankle fusion.
- To highlight the importance of biomechanical considerations in modern prosthesis design.
- To emphasize critical factors for successful ankle arthroplasty.
Summary:
- Modern total ankle replacement designs address the complex biomechanics of the ankle joint, offering a viable alternative to fusion.
- Various TAR models exist, each with distinct advantages and disadvantages.
- Successful ankle arthroplasty hinges on appropriate patient selection and meticulous surgical implantation.
Impact:
- Improved treatment options for patients with symptomatic ankle arthritis.
- Advances in prosthesis design have made total ankle replacement a more reliable surgical procedure.
- Highlights the importance of surgical expertise and patient selection in achieving favorable outcomes in ankle arthroplasty.
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