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Updated: May 31, 2026

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

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

Published on: January 24, 2018

Modified resection technique for proximal fibular osteochondromas.

A K Mootha¹, R Saini, M Dhillon

¹Postgraduate Institute of Medical Education and Research, Department of Orthopaedics, Sector 12, Chandigarh 160012, India. akmootha2005@yahoo.com

Orthopaedics & Traumatology, Surgery & Research : OTSR

|July 2, 2011

Summary

This study introduces a modified surgical technique for proximal fibular osteochondromas, preserving the proximal tibiofibular joint. This approach shows promising results with no recurrence or joint disruption at follow-up.

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Area of Science:

Orthopedic Surgery
Skeletal Tumors
Surgical Innovation

Background:

Osteochondromas are common benign bone tumors.
Proximal fibula osteochondromas can necessitate complex surgical interventions.
Current surgical options for proximal fibula osteochondromas may involve extensive resection.

Purpose of the Study:

To describe and evaluate a modified surgical technique for proximal fibular osteochondroma excision.
To assess the preservation of the proximal tibiofibular joint (PTFJ) using this modified technique.
To report outcomes in a series of patients undergoing this procedure.

Main Methods:

A modified resection technique was employed for six patients with symptomatic proximal fibular osteochondromas.
The technique focused on preserving the fibular head and the PTFJ.

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Published on: January 24, 2018

Surgical indications included peroneal nerve symptoms, cosmesis, knee motion restriction, and pain.

Main Results:

The modified technique successfully preserved the PTFJ in all cases.
No recurrence of osteochondroma was observed during the follow-up period.
Two complications were noted: marginal wound necrosis and persistent extensor hallucis longus weakness.

Conclusions:

The modified surgical technique for proximal fibular osteochondromas is effective in preserving the PTFJ.
This approach offers a viable alternative to traditional resection methods.
Further studies are warranted to fully elucidate the long-term benefits and potential complications.