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Updated: Nov 7, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Multiligamentary Reconstruction in a Below-Knee Amputation Patient.

María Tuca1,2, Tomás Pineda3, Ignacio Valderrama1

  • 1Mutual de Seguridad, Santiago, Chile.

Case Reports in Orthopedics
|April 30, 2021
PubMed
Summary
This summary is machine-generated.

Multiligament injuries in below-knee amputees are underdiagnosed but treatable. Prompt diagnosis and tibiofibular fixation with reconstruction yield good functional outcomes for transtibial amputation patients.

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Area of Science:

  • Orthopedic Surgery
  • Reconstructive Surgery
  • Trauma Management

Background:

  • Multiligament injuries in patients with below-knee amputation present diagnostic and therapeutic challenges.
  • The incidence of these injuries is unknown, leading to underdiagnosis and delayed treatment.

Observation:

  • A case report details a patient with a left transtibial amputation experiencing a multiligament injury during physiotherapy.
  • The injury was diagnosed following a severe crushing trauma to the ipsilateral lower limb.

Findings:

  • The patient underwent successful tibiofibular fixation and multiligament reconstruction.
  • Good functional results were achieved post-operatively.

Implications:

  • Ligament instability should be suspected in amputees, even during rehabilitation.
  • Early diagnosis and appropriate surgical intervention are crucial for optimal functional recovery in these complex cases.