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Ankle Joint

Ankle Joint

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...

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Updated: Mar 28, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

Ankle Arthritis: You Can't Always Replace It.

Brandon J Hayes¹, Tyler Gonzalez, Jeremy T Smith

¹From the Brigham and Women's Hospital, Boston, MA.

The Journal of the American Academy of Orthopaedic Surgeons

|December 15, 2015

Summary

This summary is machine-generated.

End-stage ankle arthritis, often from injury, causes significant disability. Treatment options include surgery like arthroplasty or arthrodesis, each with risks such as implant loosening or adjacent joint degeneration.

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Area of Science:

Orthopedics
Sports Medicine
Rheumatology

Background:

End-stage tibiotalar joint arthritis leads to disabling functional impairment.
Traumatic injury is a common cause of end-stage ankle arthritis.
Nonsurgical treatments include bracing, footwear modifications, and joint injections.

Purpose of the Study:

To review treatment options for end-stage ankle arthritis.
To compare arthroplasty and arthrodesis for ankle arthritis.
To guide treatment decisions based on patient demographics and study evidence.

Main Methods:

Literature review of high-quality studies.
Analysis of treatment outcomes for ankle arthritis.
Comparison of risks associated with arthroplasty and arthrodesis.

Main Results:

Arthroplasty and arthrodesis are primary surgical options after nonsurgical treatment failure.
Risks include early implant loosening (arthroplasty) and adjacent joint degeneration (arthrodesis).
Evidence-based guidance can help tailor treatment to patient demographics.

Conclusions:

No single ideal treatment exists for end-stage ankle arthritis.
Treatment choice depends on individual patient factors and evidence.
Understanding inherent risks is crucial for managing ankle arthritis.