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Updated: May 5, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Ankle arthrodesis with an posterolateral approach using a polyaxial angle stable Talarlock® plate]
1Department für Orthopädie, Unfall- und Wiederherstellungschirurgie, Klinik und Poliklinik für Orthopädie und physikalische Medizin, Martin-Luther-Universität Halle-Wittenberg, Magdeburger Str. 22, 06112, Halle, Deutschland, natalia@gutteck.com.
This study demonstrates safe and effective ankle arthrodesis, achieving pain-free, load-bearing capacity. All patients experienced successful ankle fusion and good clinical outcomes without complications.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Surgery
Background:
- Ankle arthritis and deformities present significant challenges to function.
- Previous treatments like prosthetics may fail, necessitating salvage procedures.
Purpose of the Study:
- To evaluate the safety and efficacy of a specific ankle arthrodesis technique.
- To assess the potential for achieving pain-free, load-bearing capacity after surgery.
Main Methods:
- The study involved ten patients with severe ankle arthritis or deformities.
- A posterolateral approach with talus reorientation and tibiotalar arthrodesis using the Talarlock® plate was performed.
- Postoperative management included progressive weight-bearing protocols.
Main Results:
- All ten patients achieved successful ankle fusion.
- No complications requiring revision surgery were reported.
- A good clinical outcome and pain-free, load-bearing capacity were observed in all cases.
Conclusions:
- This ankle arthrodesis technique provides a safe and effective solution for complex ankle pathology.
- The procedure successfully restores function and alleviates pain, leading to good patient outcomes.
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