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Related Experiment Video

Updated: May 29, 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 replacements: an overview.

Lawrence A DiDomenico1, Michelle C Anania

  • 1Ohio College of Podiatric Medicine, Cleveland, OH, USA. LD5353@aol.com

Clinics in Podiatric Medicine and Surgery
|September 28, 2011
PubMed
Summary
This summary is machine-generated.

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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) offers a viable alternative to ankle arthrodesis for end-stage ankle arthritis. Newer TAR generations show promise, providing a good option for selected patients when considering long-term outcomes and complications.

Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Biomedical Engineering

Background:

  • End-stage ankle arthritis presents a significant challenge in foot and ankle surgery.
  • Traditional treatments like ankle arthrodesis have demonstrated suboptimal long-term outcomes and potential complications.
  • Advancements in total ankle replacement (TAR) technology offer a new therapeutic avenue.

Purpose of the Study:

  • To evaluate total ankle replacement (TAR) as a viable treatment option for end-stage ankle arthritis.
  • To compare the long-term outcomes and complication profiles of TAR versus ankle arthrodesis.
  • To identify key factors contributing to successful TAR outcomes.

Main Methods:

  • Review of recent literature comparing total ankle replacement (TAR) and ankle arthrodesis.

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  • Analysis of outcomes data, including short- and long-term complications.
  • Identification of critical elements for successful surgical intervention.

    • Main Results:

    • Recent reports indicate that ankle arthrodesis may have poor long-term outcomes (20+ years) and associated complications.
    • Total ankle replacement (TAR) is emerging as a promising alternative for carefully selected patients.
    • Successful outcomes are linked to surgeon training, patient selection, and implant choice.

    Conclusions:

    • Total ankle replacement (TAR) presents a viable and potentially superior alternative to ankle arthrodesis for end-stage ankle arthritis.
    • Continued advancements in implant design and surgical techniques enhance the benefits of TAR.
    • Appropriate patient selection and surgical expertise are crucial for optimal TAR results.