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

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Subtalar arthroereisis.

Peter Highlander¹, Wenjay Sung, Lowell Weil

¹University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Clinics in Podiatric Medicine and Surgery

|September 28, 2011

Summary

This summary is machine-generated.

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Ankle Joint

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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Subtalar arthroereisis is a popular procedure that corrects excessive pronation while maintaining foot function. While generally safe and joint-sparing, potential complications and the need for implant removal exist.

Area of Science:

Orthopedic surgery
Podiatric biomechanics

Background:

Subtalar arthroereisis is increasingly utilized for managing excessive pronation.
This technique aims to preserve natural foot mechanics on uneven surfaces.

Purpose of the Study:

To evaluate the benefits and drawbacks of subtalar arthroereisis.
To understand its impact on foot adaptation and joint preservation.

Main Methods:

Review of existing literature and clinical outcomes associated with subtalar arthroereisis.
Analysis of surgical technique simplicity and implant characteristics.

Main Results:

Arthroereisis effectively reduces excessive pronation while conserving inversion.
The procedure is joint-sparing, preserves ligaments, and does not impede bone growth.

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Potential complications and the possibility of surgical removal are noted.

Conclusions:

Subtalar arthroereisis offers advantages in managing pronation with minimal disruption to foot structure.
Careful patient selection and awareness of potential complications are crucial for optimal outcomes.