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Updated: Mar 23, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Fibular Strut Graft for Revisional Tibiotalocalcaneal Arthrodesis
Spencer J Monaco1,2,3, Nick Lowery1,2,3, Brandon Crim1,2,3
1University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (SJM).
Abstract:
Tibiotalocalcaneal arthrodesis with an intramedullary nail is a procedure reserved for patients who have conditions affecting the ankle joint and subtalar joint. The most common complications include nonunion, malunion, delayed union, infection, periprosthetic fracture, hardware failure, lateral plantar nerve injury, and wound healing. Significant bone void may result if the hardware requires removal secondary to one of these complications. The purpose of this article is to report on 2 cases of infected intramedullary nails, which were revised with fibular inlay strut grafts. Both cases were augmented with either internal or external fixation.
Levels Of Evidence:
Therapeutic, Level IV: Case report.
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