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Updated: May 24, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Custom-made rotating hinge total knee replacement in a patient with congenital tibial deficiency avoids the need for
A McGrath1, M D Sewell, G Datta
1Joint Reconstruction Unit, Sarcoma Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA74LP, UK. anthonymcgrath@nhs.net
Abstract:
We report a unique case of a patient with type 2 congenital tibial deficiency and disabling knee osteoarthritis in whom a custom-made rotating hinge knee replacement was successfully performed, allowing continued mobilisation with a below-knee prosthesis, thereby avoiding the need for an above-knee amputation. Level of evidence Therapeutic study, Level IV.
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