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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.5K
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 23, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Ankle Arthritis: You Can't Always Replace It.

Brandon J Hayes1, Tyler A Gonzalez, Jeremy T Smith

  • 1Clinical Foot and Ankle Fellow, Department of Orthopaedic Surgery, Harvard School of Medicine, Boston, Massachusetts.

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|April 7, 2016
PubMed
Summary
This summary is machine-generated.

End-stage ankle arthritis, often from injury, has surgical options like arthroplasty or arthrodesis. Both treatments carry risks, including implant loosening or adjacent joint degeneration, guiding patient care decisions.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rheumatology

Background:

  • End-stage tibiotalar joint arthritis causes significant disability and functional impairment.
  • Often a consequence of prior traumatic injury, ankle arthritis necessitates effective management strategies.

Purpose of the Study:

  • To review current treatment options for end-stage ankle arthritis.
  • To compare the risks and benefits of arthroplasty versus arthrodesis for ankle arthritis management.

Main Methods:

  • Literature review of high-quality studies on ankle arthritis treatments.
  • Analysis of patient demographics and treatment outcomes for arthroplasty and arthrodesis.

Main Results:

  • Nonsurgical treatments include bracing, shoe modifications, and joint injections.
  • Arthroplasty and arthrodesis are primary surgical options for refractory ankle arthritis.
  • Key risks include early implant loosening (arthroplasty) and adjacent joint degeneration (arthrodesis).

Conclusions:

  • No single ideal treatment exists for end-stage ankle arthritis.
  • High-quality studies guide treatment selection based on patient factors.
  • Understanding the specific risks of each procedure is crucial for informed decision-making.