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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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Updated: May 15, 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

Posterior approach for total ankle arthroplasty.

Christopher Bibbo¹

¹Department of Orthopaedics, Marshfield Clinic, Marshfield, WI, USA. bibbo.christopher@marshfieldclinic.org

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons

|December 25, 2012

Summary

Total ankle arthroplasty can be complex, particularly with soft tissue issues. This study presents a posterior surgical approach as an alternative for total ankle replacement in challenging cases.

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Area of Science:

Orthopedic Surgery
Reconstructive Surgery

Background:

Total ankle arthroplasty (TAA) is a complex procedure.
Soft tissue complications can lead to significant morbidity, especially with compromised anterior ankle tissues.

Purpose of the Study:

To describe an alternative surgical approach for TAA.
To address challenges in TAA when the anterior soft tissue envelope is not ideal.

Main Methods:

Description of a posterior surgical approach for TAA.
Case considerations for utilizing an alternative approach.

Main Results:

A posterior approach offers an alternative for TAA.
This method may be suitable for unique cases with specific challenges.

Conclusions:

The posterior approach is a viable alternative for TAA.
It can be considered when anterior soft tissues are compromised.