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Updated: Apr 19, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Fibular head and tibial-based (2-Tailed) posterolateral corner reconstruction
Andrew J Blackman1, William M Engasser, Aaron J Krych
1Department of Orthopedic Surgery, Mayo Clinic Sports Medicine Center, Mayo Clinic, Rochester, MN.
Abstract:
Two-tailed techniques for reconstruction of the posterolateral corner use grafts that originate on the femur and insert onto both the proximal tibia and the fibular head. Two-tailed reconstruction aims to reconstruct the fibular collateral ligament, popliteus tendon, and popliteofibular ligament with anatomically placed grafts. This article will review the history, indications, and authors' preferred technique for 2-tailed posterolateral corner reconstruction, as well as biomechanical and clinical outcomes of this technique.
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