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Updated: Feb 16, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Medial Double Arthrodesis: Technique Guide and Tips.

Eric So1, Christopher W Reb2, David R Larson3

  • 1Resident, Grant Medical Center, Columbus, OH.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|December 20, 2017
PubMed
Summary
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Opening Wedge Distal Tibial Osteotomy.

Clinics in podiatric medicine and surgery·2025
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Zadek Calcaneal Osteotomy.

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Medial Malleolar Osteotomies for Access to Medial Osteochondral Lesions of the Talar Dome.

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Anatomic Insights Into Lateral Intersection Syndrome in the Foot and Ankle.

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Corrigendum to "A Study of Tibial Cyst Formation in Modular Stemmed Total Ankle Arthroplasty: Exploring a Possible Relationship to Smooth and Porous Coating on the Stem Segments" [Journal of Foot and Ankle Surgery 62 (2023) 756-763].

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons·2025
Same author

Radiographic analysis of hallux valgus and first tarsometatarsal joint correction after isolated first metatarsophalangeal joint arthrodesis.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons·2025

Medial double arthrodesis offers similar benefits to triple arthrodesis for complex hindfoot issues but with fewer complications. This technique is gaining interest for treating hindfoot pathologies.

Area of Science:

  • Orthopedic surgery
  • Foot and ankle reconstruction

Background:

  • Triple arthrodesis is the traditional treatment for complex hindfoot pathology.
  • Recent studies suggest medial double arthrodesis may be a viable alternative.

Purpose of the Study:

  • To describe the technical aspects of the medial double arthrodesis procedure.
  • To highlight its potential benefits over traditional methods.

Main Methods:

  • Detailed description of the surgical technique for medial double arthrodesis.
  • Review of recent comparative data on arthrodesis procedures.

Main Results:

  • Medial double arthrodesis demonstrates comparable efficacy to triple arthrodesis.
  • Medial double arthrodesis is associated with reduced complication rates.
Keywords:
flatfootmedial incisionposterior tibial tendon dysfunctionsubtalar joint arthrodesistalonavicular joint arthrodesis

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Conclusions:

  • Medial double arthrodesis is an emerging, effective treatment for complex hindfoot pathology.
  • This procedure may offer an improved safety profile compared to triple arthrodesis.