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Updated: May 16, 2026
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Total ankle replacement using HINTEGRA, an unconstrained, three-component system: surgical technique and pitfalls
Alexej Barg1, Markus Knupp, Heath B Henninger
1Clinic of Orthopaedic Surgery, Kantonsspital Liestal, Rheinstrasse 26, Liestal CH-4410, Switzerland, alexejbarg@mail.ru
Foot and Ankle Clinics
|November 20, 2012
Summary
Total ankle replacement (TAR) using the HINTEGRA system offers a stable solution for end-stage ankle osteoarthritis. Its anatomically designed components promote natural ankle biomechanics and mobility.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Total ankle replacement (TAR) is a key treatment for end-stage ankle osteoarthritis.
- The HINTEGRA TAR is a popular 3-component, unconstrained system offering inversion-eversion stability.
Purpose of the Study:
- To describe the design and surgical technique of the HINTEGRA total ankle replacement.
- To highlight its application in complex hindfoot reconstruction for various ankle deformities.
Main Methods:
- Detailed description of the HINTEGRA prosthesis components: 2 anatomically contoured metal parts and a polyethylene insert.
- Explanation of the surgical procedure for implantation.
- Discussion of its use in cases of osteoarthritic, varus, or valgus ankle deformities.
Main Results:
- The HINTEGRA prosthesis is designed for axial rotation and physiologic flexion-extension.
- Anatomically driven design aims for more natural ankle biomechanics.
- The system provides inversion-eversion stability.
Conclusions:
- The HINTEGRA TAR is a viable option for patients with end-stage ankle osteoarthritis and complex deformities.
- Its anatomical design may lead to improved functional outcomes.
- The prosthesis facilitates complex hindfoot reconstruction.
