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Updated: May 17, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
09:01

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

Published on: January 24, 2018

Total ankle replacement: a historical perspective.

Benjamin D Overley1

  • 1PMSI Orthopedics, Pottstown, PA, USA. overley@pmsiforlife.com

Clinics in Podiatric Medicine and Surgery
|October 10, 2012
PubMed
Summary
This summary is machine-generated.

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Ankle Joint01:10

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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Total ankle replacement outcomes have improved significantly since the 1970s due to better implant designs and surgical techniques. Careful patient selection remains crucial for continued success in ankle arthroplasty.

Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Arthroplasty research

Background:

  • Early total ankle replacement (TAR) designs in the 1970s faced criticism due to suboptimal patient outcomes.
  • Subsequent generations of implants and surgical techniques have been developed to address initial shortcomings.

Purpose of the Study:

  • To review the evolution of total ankle replacement implants and outcomes.
  • To highlight improvements in implant design, survivorship, and patient satisfaction.
  • To emphasize the importance of patient selection for successful TAR.

Main Methods:

  • Review of historical data and literature on total ankle replacement.
  • Analysis of implant design modifications over several generations.
  • Evaluation of reported survivorship rates and patient satisfaction scores.

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Main Results:

  • Initial TAR implants had poor outcomes, leading to significant design improvements.
  • Modern TAR implants demonstrate improved survivorship and higher patient satisfaction.
  • The indications for performing total ankle replacement have expanded.

Conclusions:

  • Total ankle replacement has evolved from a criticized procedure to a more accepted treatment option.
  • Continued success in TAR relies on ongoing advancements and meticulous patient selection.
  • Improved implant technology and surgical expertise have enhanced the viability of TAR.