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Updated: Dec 20, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Revision Surgery for Failed Lateral Ankle Stabilization.

Sean T Grambart1, Joseph R Brown2

  • 1Des Moines University, College of Podiatric Medicine and Surgery, 3200 Grand Avenue, Des Moines, IA 50312, USA; Unitypoint Health - Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.

Clinics in Podiatric Medicine and Surgery
|May 31, 2020
PubMed
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Revision ankle surgery may be needed due to primary lateral ankle ligament repair failures. Anatomic allograft reconstruction is a popular technique for revision, addressing issues from prior nonanatomic repairs.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Primary lateral ankle ligament repair has a high success rate but can fail.
  • Nonanatomic repair techniques can lead to stiffness and altered tendon mechanics.
  • Revision surgery is sometimes necessary to address these failures.

Purpose of the Study:

  • To discuss factors contributing to lateral ankle ligament repair failure.
  • To describe the technique for anatomic allograft reconstruction in revision surgery.
  • To highlight the growing popularity of allograft anatomic reconstruction for revision cases.

Main Methods:

  • Review of factors leading to primary lateral ankle ligament repair failure.
  • Description of the surgical technique for allograft anatomic lateral ankle ligament reconstruction.
Keywords:
AllograftAnkle sprainLateral ankle instabilityRevision surgery

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  • Discussion of patient selection and post-operative management for revision cases.

    • Main Results:

    • Nonanatomic repairs are associated with increased stiffness and altered mechanics.
    • Anatomic allograft reconstruction is an effective option for revision surgery.
    • Understanding failure mechanisms guides successful revision techniques.

    Conclusions:

    • Revision lateral ankle ligament reconstruction is a viable option for failed primary repairs.
    • Anatomic allograft reconstruction offers a solution to the limitations of nonanatomic techniques.
    • Careful consideration of failure factors and meticulous surgical technique are crucial for successful revision outcomes.