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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Current Concepts Regarding Total Ankle Replacement as a Viable Treatment Option for Advanced Ankle Arthritis: What
Christopher L Reeves1, Amber M Shane2, Ryan Vazales3
1Orlando Foot and Ankle Clinic, 2111 Glenwood Drive, Suite 104, Winter Park, FL 32792, USA; Podiatric Surgical Residency Program, Department of Podiatric Surgery, Florida Hospital East Orlando, 7727 Lake Underhill Road, Orlando, FL 32828, USA.
Abstract:
Much of the current literature suggests that total ankle replacement (TAR) is no longer an inferior or fringe treatment for advanced ankle arthritis compared with ankle fusion, but rather a viable option for recalcitrant arthritic ankle pathology in the correct patient population. In this article, current concepts associated with successful outcomes for TAR are discussed with an emphasis on ankle joint anatomy and biomechanics, preoperative planning and patient selection, understanding pathomechanics and soft tissue balancing, as well as the surgeon's learning curve.

