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Updated: Apr 13, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Technical tip: Dorsal transmetatarsal approach to intermetatarsal and deep plantar lesions
Dishan Singh1, Nicholas Cullen1
1Foot and Ankle Unit, Royal National Orthopaedic Hospital, Stanmore, Middelesex HL7 4LP, United Kingdom.
Unlabelled:
Synovial and chondromatous lesions can extend dorsally, intermetatarsally and deep into the vault of the longitudinal and transverse plantar arches of the foot. The lesions may prove difficult to excise even with combined approaches. Two cases where a transmetatarsal approach by excision of the base of the third metatarsal enabled successful complete excision of the lesions are presented.
Level Of Evidence:
Level V, expert opinion.
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