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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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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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Related Experiment Video

Updated: Mar 25, 2026

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

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[Subtalar arthrodesis].

R A Fuhrmann1, T Pillukat2

  • 1Klinik für Fuß- und Sprunggelenkchirurgie, Rhön-Klinikum, Salzburger Leite 1, 97616, Bad Neustadt, Deutschland. ReneeAndrea.Fuhrmann@fusschirurgie-bad-neustadt.de.

Operative Orthopadie Und Traumatologie
|February 20, 2016
PubMed
Summary
This summary is machine-generated.

Subtalar joint arthrodesis effectively realigns and stabilizes the hindfoot for arthritis and malalignment. While complications like wound healing issues can occur, most patients experience improved function and heel alignment post-surgery.

Keywords:
ArthrodesisCavovarus footFlatfootHindfootLower ankle jointSubtalar joint

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Podiatric Medicine

Background:

  • Subtalar joint arthritis and hindfoot malalignment significantly impair mobility and quality of life.
  • Surgical intervention is often necessary to restore function and alleviate pain.

Purpose of the Study:

  • To evaluate the efficacy of subtalar joint arthrodesis for treating hindfoot malalignment and arthritis.
  • To assess surgical techniques, outcomes, and complications associated with subtalar joint fusion.

Main Methods:

  • Conducted subtalar joint arthrodesis using lateral, posterolateral, or medial approaches.
  • Addressed various etiologies including idiopathic, posttraumatic, and inflammatory arthritis.
  • Included optional correction of associated flatfoot or cavovarus deformities.

Main Results:

  • 43 patients underwent isolated subtalar arthrodesis with a low rate of infection (0%) and manageable wound healing issues (5 patients).
  • Significant improvement in the AOFAS hindfoot score was observed.
  • 34 patients achieved good heel alignment, though some residual malalignment (5 varus, 2 valgus) occurred. Full bone healing was achieved in 36 joints, with 4 cases of pseudarthrosis.

Conclusions:

  • Subtalar joint arthrodesis is a viable procedure for correcting hindfoot malalignment and treating subtalar joint arthritis.
  • The surgical technique allows for effective realignment and stabilization, leading to improved patient function.
  • While generally safe, potential complications such as wound healing disorders and pseudarthrosis should be considered.