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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.4K
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...
3.4K

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Updated: May 2, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Anterior ankle arthrodesis.

Gordon L Slater1, Stephanie C Sayres1, Martin J O'Malley1

  • 1Gordon L Slater, Sports Foot and Ankle Surgery, Edgecliff, NSW 2027, Australia.

World Journal of Orthopedics
|March 21, 2014
PubMed
Summary
This summary is machine-generated.

Anterior plating for ankle arthrodesis demonstrates high union rates and improved patient outcomes. Customised plates offer rigid fixation, potentially reducing complications in foot and ankle surgery.

Keywords:
Ankle arthrodesisAnterior plateCustomised plateFusionSynthes plate

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Area of Science:

  • Orthopedic surgery
  • Biomechanical engineering

Background:

  • Ankle arthrodesis is a common surgical procedure for various foot and ankle conditions.
  • Complications and variable outcomes are reported, often linked to the chosen fixation technique.
  • Debate exists regarding the optimal method for achieving successful ankle fusion.

Purpose of the Study:

  • To evaluate the efficacy of anterior plating in ankle arthrodesis.
  • To compare outcomes using customized and Synthes TomoFix plates.
  • To assess union rates, patient-reported outcomes, and complication profiles.

Main Methods:

  • Retrospective analysis of 28 ankle arthrodesis cases between 2005 and 2012.
  • Utilized anterior plating with customized and Synthes TomoFix implants.
  • Evaluated radiographic union, patient-reported outcome scores, and complication incidence.

Main Results:

  • All 28 patients achieved radiographic union, with 92.86% achieving union by 16 weeks.
  • Patient-reported outcome scores significantly improved (P < 0.05).
  • Complications included two delayed unions, one infection, and extended postoperative pain.

Conclusions:

  • Anterior plating, particularly with customized contoured plates, provides rigid fixation and aids ankle arthrodesis stabilization.
  • The technique demonstrates a high rate of successful bony union and positive patient outcomes.
  • Customized plates offer advantages like enhanced compression and coaxial screw fixation points.