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Updated: May 18, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Evidence-based indications for distraction ankle arthroplasty.

Nicholas C Smith1, Douglas Beaman, S Robert Rozbruch

  • 1Memorial University of Newfoundland. nicksmith@munmed.ca

Foot & Ankle International
|September 22, 2012
PubMed
Summary

Distraction ankle arthroplasty lacks sufficient evidence for current indications. Further high-quality studies are needed to support or refute its use in various ankle conditions.

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Area of Science:

  • Orthopedic surgery
  • Evidence-based medicine

Background:

  • Distraction ankle arthroplasty is a surgical technique.
  • Its efficacy for various ankle conditions requires evaluation.

Purpose of the Study:

  • To review the literature for the Level of Evidence (LOE) supporting distraction ankle arthroplasty.
  • To grade recommendations for its accepted indications.

Main Methods:

  • Comprehensive literature review using PubMed (Nov 2010 - Jan 2011).
  • Articles were assessed for Level of Evidence (I-V).
  • Grades of Recommendation were assigned based on analyzed literature.

Main Results:

  • Insufficient evidence (Grade I) exists to support or refute distraction ankle arthroplasty.

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  • This applies to post-traumatic arthritis, instability, degenerative joint disease, chondrolysis, deformity, osteochondral defects, and congenital abnormalities.

    • Conclusions:

    • Inadequate evidence supports or refutes current indications for distraction ankle arthroplasty.
    • High-quality scientific studies are necessary to improve recommendation grades.