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Updated: Apr 24, 2026

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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
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All-inside, anatomical lateral ankle stabilization for revision and complex primary lateral ankle stabilization: a
Mark A Prissel1, Thomas S Roukis2
1Gundersen Medical Foundation (MAP), La Crosse, WisconsinDepartment of Orthopaedics, Podiatry, and Sports Medicine, Gundersen Health System (TSR), La Crosse, Wisconsin.
Foot & Ankle Specialist
|September 11, 2014
Summary
Revision surgery for lateral ankle instability can now be performed arthroscopically. A new technique uses an arthroscopic stabilization kit and suture anchors for complex primary or revision cases.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Lateral ankle instability is a frequent mechanical issue often necessitating surgical intervention after conservative treatments fail.
- Open surgical techniques are historically common, but arthroscopic approaches are gaining popularity for their promising outcomes.
- Recurrent injuries after initial lateral ankle stabilization may require revision surgery.
Purpose of the Study:
- To describe a novel arthroscopic technique for revision lateral ankle stabilization.
- To present a method applicable to complex primary lateral ankle stabilization as well.
Main Methods:
- A novel arthroscopic technique is presented.
- This technique combines an arthroscopic lateral ankle stabilization kit with a suture anchor ligament augmentation system.
Main Results:
- The described technique addresses the lack of arthroscopic options for revision lateral ankle stabilization.
- It offers a solution for both revision and complex primary cases.
Conclusions:
- This novel arthroscopic approach provides a new option for managing revision and complex primary lateral ankle instability.
- Further studies are needed to evaluate the efficacy and long-term outcomes of this technique.

