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Updated: Jan 25, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Total Replacement of Varus Ankle: Three-Component Prosthesis Design
1Clinic of Orthopaedic Surgery, Kantonsspital Baselland, Rheinstrasse 26, Liestal CH-4410, Switzerland.
Total ankle replacement (TAR) is a common treatment for severe ankle arthritis. Success may depend on properly balancing the ankle joint, especially in cases with deformities.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Musculoskeletal Research
Background:
- Total ankle replacement (TAR) is increasingly used for end-stage ankle osteoarthritis.
- Appropriate indications for TAR, particularly with coronal plane deformities, remain debated.
Purpose of the Study:
- To explore the indications for total ankle replacement in patients with coronal plane deformities.
- To investigate the relationship between ankle joint complex balance and long-term TAR success.
Main Methods:
- Review of current literature on total ankle replacement outcomes.
- Analysis of factors influencing surgical success in complex ankle deformities.
- Discussion of joint balancing techniques in TAR.
Main Results:
- Long-term success of TAR is hypothesized to be linked to achieving optimal ankle joint complex balance.
- Coronal plane deformities present unique challenges for TAR procedures.
Conclusions:
- Further research is needed to definitively establish indications for TAR in deformed ankles.
- Surgeon's ability to balance the ankle joint complex is critical for favorable long-term outcomes in total ankle replacement.
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