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Updated: May 28, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Lateral tibial condyle reconstruction by pedicled vascularized fibular head graft: long-term result
Syed Kamran Ahmed1, Boris Kwok Keung Fung, Wing Yuk Ip
1Division of Hand and Foot Surgery, Department of Orthopaedics and Traumatology, Queen Mary Hospital, University of Hong Kong, 102, Pok Fu Lam Road, Pokfulam, Hong Kong, drkamran72@yahoo.com.
Abstract:
The technique of pedicled vascularized fibular graft for lateral tibial condyle reconstruction after en bloc resection of aggressive giant cell tumours was described by SP Chow et al. Early follow-up of two patients was presented in 1986. We present the 25 years follow-up of one patient with a literature review of alternative present day treatment options. The patient maintained community ambulant status despite developing late stage osteoarthritis. Although this procedure is performed rarely, it remains an alternative to the more sophisticated treatment options making it a useful method in centres with limited facilities and expertise.
