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Related Experiment Video

Updated: May 16, 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

Ankle arthrodesis versus total ankle replacement: how do I decide?

Fabian G Krause1, Timo Schmid

  • 1Department of Orthopaedic Surgery, Inselspital, University of Berne, Freiburgstrasse, 3010 Berne, Switzerland. fabian.krause@insel.ch

Foot and Ankle Clinics
|November 20, 2012
PubMed
Summary

Choosing the right surgical procedure, whether ankle arthrodesis or total ankle replacement, is crucial for successful outcomes in end-stage ankle arthritis patients. This guide helps surgeons select the best option based on individual patient criteria and current evidence.

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Ankle Joint01:10

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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
  • Podiatric Medicine
  • Biomechanical Engineering

Background:

  • End-stage ankle arthritis presents complex treatment challenges.
  • Surgical options include ankle arthrodesis (fusion) and total ankle replacement (TAR).
  • Patient-specific factors significantly impact the success of these procedures.

Purpose of the Study:

  • To provide guidance for orthopedic and foot and ankle surgeons.
  • To aid in the decision-making process between ankle arthrodesis and total ankle replacement.
  • To highlight key individual criteria influencing surgical outcomes.

Main Methods:

  • Literature review of current evidence on ankle arthrodesis and TAR.
  • Analysis of individual patient factors relevant to surgical outcomes.

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Published on: January 23, 2018

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Last Updated: May 16, 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

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
07:24

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

Published on: January 23, 2018

  • Synthesis of data to support clinical decision-making.

    • Main Results:

    • Correct patient indication is a primary determinant of successful outcomes.
    • A balance of multiple criteria is necessary for optimal surgical selection.
    • Evidence supports tailored approaches based on patient-specific needs.

    Conclusions:

    • Surgeons can optimize patient outcomes by carefully considering individual criteria.
    • The choice between ankle arthrodesis and total ankle replacement should be individualized.
    • This report serves as a decision-making aid for complex ankle reconstruction cases.