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Updated: Mar 26, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Gutter Impingement in Total Ankle Arthroplasty
John M Schuberth1, David A Wood2, Jeffrey C Christensen2
1Kaiser Foundation Hospital, San Francisco, California (JMS)Mid-Atlantic Permanente Medical Group, Greater Baltimore Medical Center, Lutherville, Maryland (DAW)Department of Orthopedics, Swedish Medical Center, Seattle, Washington (JCC) jmfoot@aol.com.
Unlabelled:
Gutter pain and impingement are recognized entities following total ankle arthroplasty (TAA). However, little concrete information is available in the existing literature regarding the etiology, potentiating factors, treatment and prevention of gutter disease. This comprehensive monograph discusses this problem in expansive detail and provides insight to surgeons who perform TAA, such that these complications can be minimized in the future.
Levels Of Evidence:
Level V: Expert opinion.
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