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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 6, 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

The bright future for total ankle replacements.

Stephen Greenfield¹, Scott Ellis

¹Department of Foot and Ankle Surgery, The Hospital for Special Surgery, 523 East 72nd Street, New York, NY, 10021, USA.

Current Reviews in Musculoskeletal Medicine

|November 1, 2013

Summary

This summary is machine-generated.

New total ankle arthroplasty (TAA) shows promising results for end-stage ankle arthritis, matching outcomes of ankle fusion. Advances in surgical techniques and implants are improving TAA success rates for better patient results.

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Area of Science:

Orthopedic surgery
Biomedical engineering
Reconstructive surgery

Background:

End-stage ankle arthritis presents a significant challenge in orthopedic treatment.
Historically, total ankle arthroplasty (TAA) had suboptimal outcomes.
Ankle fusion is a traditional treatment but results in limited mobility.

Purpose of the Study:

To evaluate the efficacy of new-generation total ankle implants.
To compare the outcomes of TAA with ankle fusion.
To assess the impact of evolving surgical techniques on TAA results.

Main Methods:

Review of short- and intermediate-term follow-up data for total ankle arthroplasty.
Comparison of clinical outcomes between TAA and ankle fusion.
Analysis of advancements in surgical procedures and implant designs.

Main Results:

New generation total ankle implants demonstrate comparable outcomes to ankle fusion.
Short- and intermediate-term follow-up data support the efficacy of modern TAA.
Improving surgical techniques and implant options correlate with better TAA results.

Conclusions:

Total ankle arthroplasty is a viable and evolving treatment for end-stage ankle arthritis.
Modern TAA offers comparable outcomes to ankle fusion, preserving joint motion.
Continued advancements in TAA are expected to yield superior clinical results in the future.