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Updated: May 17, 2026

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

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

Published on: January 24, 2018

Ankle arthrodiastasis and interpositional ankle exostectomy.

Bryan A Sagray¹, Bradley A Levitt, Thomas Zgonis

¹Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MSC 7776, San Antonio, TX 78229, USA.

Clinics in Podiatric Medicine and Surgery

|October 10, 2012

Summary

Ankle arthrodiastasis with interpositional exostectomy offers a treatment option for ankle joint arthrosis. This review details the procedure, covering its mechanism, indications, and potential complications for ankle arthritis management.

Related Concept Videos

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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Area of Science:

Orthopedic Surgery
Sports Medicine
Joint Reconstruction

Background:

Ankle joint arthrosis, often post-traumatic, affects diverse age groups.
Current treatments include arthrodesis, joint replacement, arthrodiastasis, and articular repair.
Previous studies show success with isolated articular repair or arthrodiastasis.

Purpose of the Study:

To review the technique of ankle arthrodiastasis combined with interpositional ankle exostectomy.
To provide a comprehensive overview of this combined surgical approach for ankle joint conditions.

Main Methods:

Literature review of ankle arthrodiastasis and interpositional ankle exostectomy.
Analysis of background, mechanism of action, indications, patient selection, complications, and advantages.

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

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$Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus$

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Main Results:

The review synthesizes current literature on the combined procedure.
It details the specific components and considerations for performing ankle arthrodiastasis with interpositional exostectomy.

Conclusions:

Ankle arthrodiastasis with interpositional exostectomy is a viable technique for managing ankle arthrosis.
Understanding its mechanism, indications, and potential complications is crucial for successful patient outcomes.