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Updated: Jan 19, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Research progress of surgical treatment for lateral malleolus defect]
1Department of Trauma and Microscopic Orthopedics, Zhongnan Hospital of Wuhan University, Wuhan Hubei, 430071, P.R.China.
Objective:
To review the research progress of the surgical treatment for lateral malleolus defect.
Methods:
The related literature about surgical treatment and effectiveness of lateral malleolus defect at home and abroad was reviewed, summarized, and analysed.
Results:
Lateral malleolus defects are often caused by severe trauma or wide resection of fibular neoplasms. Although the incidence is not high, the defects are difficult to handle. These bony defects should be reconstructed to prevent an abnormal gait induced by ankle instability and avoid the occurrence of traumatic arthritis. Various repair methods have been developed, including bone transplantation, fibula lengthening, and ankle arthrodesis.
Conclusion:
There are various surgical methods to repair the defect of lateral malleolus, but each has its own advantages and disadvantages. In order to achieve the best results, the surgeon should choose the appropriate operation according to his own level, the patient's specific injury, and age.
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