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Updated: May 16, 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

Revision total ankle replacement.

Jacques Heinrich Jonck¹, Mark S Myerson

¹Department of Orthopaedics, Windhoek Central Hospital, Namibia, PO Box 9819, Windhoek, 9000 Namibia.

Foot and Ankle Clinics

|November 20, 2012

Summary

This summary is machine-generated.

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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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This review covers total ankle replacement (TAR) revision surgery, addressing implant failure causes, pain and stiffness management, and bone management during revision. It provides insights into optimizing outcomes for patients undergoing revision of ankle arthroplasty.

Area of Science:

Orthopedic Surgery
Biomaterials Science
Clinical Medicine

Background:

Total ankle replacement (TAR) is a common procedure for end-stage ankle arthritis.
Revision surgery for TAR is becoming more frequent due to implant wear and failure.
Managing complications after TAR requires a thorough understanding of biomechanics and surgical techniques.

Purpose of the Study:

To review the current literature on total ankle replacement (TAR) revision surgery.
To identify common causes of TAR implant failure.
To outline management strategies for pain, stiffness, and peri-implant cysts following TAR.

Main Methods:

Comprehensive literature search of peer-reviewed articles on TAR revision surgery.
Analysis of studies focusing on etiologies of implant failure.

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Last Updated: May 16, 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

Review of clinical guidelines and case series for managing post-TAR complications.

Main Results:

Common causes of TAR failure include aseptic loosening, infection, and component malposition.
Pain and stiffness are significant challenges, often requiring tailored rehabilitation and surgical intervention.
Asymptomatic peri-implant cysts may require monitoring or intervention based on size and progression.
Effective management of distal tibia and talus bone stock is crucial for successful revision.

Conclusions:

Revision surgery for total ankle replacement presents complex challenges.
Addressing implant failure, pain, stiffness, and bone defects is key to successful outcomes.
Further research is needed to standardize optimal surgical techniques and long-term management protocols for TAR revision.