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Related Experiment Video

Updated: May 13, 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

Fusion following failed total ankle replacement.

Markus Wünschel1, Ulf G Leichtle, Carmen I Leichtle

  • 1Department of Orthopaedic Surgery, University Hospital Tübingen, Hoppe-Seyler-Street 3, Tübingen 72076, Germany. markus.wuenschel@uni-tuebingen.de

Clinics in Podiatric Medicine and Surgery
|March 8, 2013
PubMed
Summary

Total ankle replacement failure is common, with limited revision options. Tibiotalar and tibiotalocalcaneal fusions offer valuable alternatives when revision arthroplasty is not feasible.

Related Concept Videos

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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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Total ankle replacement (TAR) has improved but still experiences higher failure rates than hip or knee replacements.
  • Limited revision component options and scarce tibiotalar bone stock pose challenges for revision TAR.
  • Tibiotalar and tibiotalocalcaneal fusions are crucial salvage procedures for failed TAR.

Purpose of the Study:

  • To outline surgical strategies for revision total ankle replacement based on patient-specific factors.
  • To provide detailed guidance on surgical techniques, postoperative care, and expected clinical outcomes for tibiotalar and tibiotalocalcaneal fusions.

Main Methods:

  • Review of current literature and clinical experience with revision TAR and ankle fusions.
  • Description of decision-making algorithms for selecting appropriate surgical procedures.

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Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
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  • Detailed explanation of surgical techniques for tibiotalar and tibiotalocalcaneal fusions.

    • Main Results:

    • Revision TAR is challenging due to limited component availability and bone loss.
    • Tibiotalar and tibiotalocalcaneal fusions demonstrate effectiveness in salvage situations.
    • Successful outcomes depend on careful patient selection, surgical technique, and postoperative management.

    Conclusions:

    • When revision total ankle replacement is not viable, tibiotalar and tibiotalocalcaneal fusions are essential limb-sparing options.
    • Adherence to detailed surgical techniques and postoperative protocols is critical for successful fusion outcomes.
    • These fusion procedures provide valuable solutions for complex ankle revision cases, improving patient function.