Related Experiment Video
Updated: May 13, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Attaining tibiofibular union using an inter-tibiofibular autograft. A series of 43 cases
1Orthopedics and Trauma Surgery, HIA Percy, 92140 Clamart, France. renaudbreda@yahoo.fr
Introduction:
This study consisted of a series of 43 patients with lower leg non-union that were treated with an inter-tibiofibular autograft (ITFG).
Material And Methods:
After reviewing the surgical technique, the overall theory behind the treatment is described, including stabilization, soft tissue repair, infection control if necessary and then performing a procedure to help achieve bone union.
Results:
After an average follow-up of 2 years, all the patients achieved union, but some required additional procedures. Only one patient had a delayed reactivation of the infection, which was successfully treated.
Conclusion:
A broad set of indications for ITFG are proposed for lower leg non-union cases, in particular non-infected cases.
Level Of Evidence:
Level IV. Retrospective study.
