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Related Concept Videos

Ankle Joint01:10

Ankle Joint

3.3K
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...
3.3K

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Related Experiment Video

Updated: Mar 7, 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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Obtaining Correct Ankle Alignment Using Intraoperative External Fixation for Ankle Arthrodesis.

Reza Firoozabadi1, Daniel Thuillier2, Stephen Benirschke3

  • 1Assistant Professor, Department of Orthopaedic Surgery and Sports Medicine, University of Washington/Harborview Medical Center, Seattle, WA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|February 25, 2017
PubMed
Summary

This study introduces a new ankle fusion technique using temporary external and internal fixation. The innovative method achieves optimal foot positioning and high fusion rates while preserving the fibula for potential future ankle replacement surgery.

Keywords:
ankle fusiondeformityexternal fixatortemporary fixation

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Area of Science:

  • Orthopedic Surgery
  • Foot and Ankle Reconstruction
  • Surgical Innovation

Background:

  • Ankle arthritis necessitates treatment options like ankle arthrodesis.
  • Current ankle fusion techniques lack consensus on optimal positioning and fibula preservation.
  • Increasing popularity of ankle arthroplasty highlights the need to maintain fibular integrity.

Purpose of the Study:

  • To describe an innovative ankle arthrodesis technique combining temporary external and internal fixation.
  • To evaluate the efficacy of this technique in achieving successful fusion and optimal foot alignment.
  • To assess the preservation of fibular integrity for future reconstructive options.

Main Methods:

  • Retrospective review of 17 patients undergoing the described ankle arthrodesis technique.
  • Analysis of pre- and postoperative radiographs to assess coronal and sagittal alignment.
  • Evaluation of fusion rates, union times, and foot/ankle alignment parameters.

Main Results:

  • All 17 patients achieved successful ankle fusion, with one case of delayed union.
  • Preoperative anterior subluxation (tibial/talar ratio 21%) improved to normal (33%) postoperatively.
  • Preoperative varus/valgus alignment (>5°) was corrected to within 2° in all affected cases.

Conclusions:

  • The described technique effectively achieves optimal foot position and high fusion rates in ankle arthrodesis.
  • This method preserves fibular integrity, crucial for potential future ankle arthroplasty.
  • The innovative approach offers good joint visualization and minimal complications, enhancing surgical outcomes.