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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: Jul 23, 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

Lateral ligament reconstruction procedures for the ankle.

Y Tourné¹, C Mabit²

¹Centre ostéo-articulaire des Cèdres, 5, rue des Tropiques, Parc Galaxie-Sud, 38130 Échirolles, France.

Orthopaedics & Traumatology, Surgery & Research : OTSR

|November 23, 2016

Summary

Lateral ankle instability, often caused by ligament tears, requires careful diagnosis and treatment. Anatomic ligament reconstruction is recommended over non-anatomic techniques for long-term joint stability.

Keywords:

Ankle Instability Lateral ligament reconstruction

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Area of Science:

Orthopedics
Sports Medicine
Anatomy

Background:

Lateral compartment capsule/ligament lesions cause ankle laxity, leading to chronic ankle instability.
Effective treatment is crucial for joint stabilization and mitigating osteoarthritis risk.

Purpose of the Study:

To classify, present, and critique various lateral ankle ligament reconstruction techniques.
To evaluate techniques based on long-term joint stabilization and osteoarthritis risk reduction.

Main Methods:

Review and critical analysis of current surgical techniques for lateral ankle ligament reconstruction.
Discussion of diagnostic and therapeutic approaches for complex ankle instability.

Main Results:

Anatomic ligament repair with reinforcement or anatomic ligament reconstruction are the preferred methods.
Non-anatomic reconstructions utilizing the peroneus brevis tendon are discouraged.
Arthroscopic techniques show promise but require longer follow-up data.

Conclusions:

Anatomic reconstruction techniques offer superior long-term outcomes for lateral ankle instability.
Postoperative neuromuscular rehabilitation is vital for optimal patient recovery.
Further research is needed to validate arthroscopic methods and address reconstruction failures.