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Updated: May 12, 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

A practical correction of great toe claw deformity.

Spencer L Eagan¹, Andrew G Silver, Arshad R Muzaffar

¹Division of Plastic Surgery, University of Missouri, Columbia, MO 65212, USA.

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

|April 23, 2013

Summary

Claw toe deformity can result from leg compartment syndrome. This case report details surgical correction for ischemic great toe clawing, involving tendon lengthening and transfer.

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Area of Science:

Orthopedic Surgery
Lower Extremity Reconstruction
Compartment Syndrome Management

Background:

Compartment syndrome of the leg can lead to ischemic contractures, including debilitating claw toe deformities.
While acute management is well-documented, optimal surgical strategies for established claw toe deformity remain less explored.

Observation:

A case of left great toe clawing secondary to ischemia following compartment syndrome is presented.
The deformity manifested as significant functional impairment of the great toe.

Findings:

Surgical intervention involved lengthening the extensor hallucis longus tendon.
Transfer of the extensor hallucis brevis tendon to the extensor hallucis capsularis was performed.
Percutaneous pinning of the great toe stabilized the correction.

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Last Updated: May 12, 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

Implications:

This surgical approach offers a potential solution for managing ischemic great toe claw deformity.
Further research is warranted to establish standardized treatment protocols for such deformities.
Successful management can restore function and improve patient quality of life.