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Updated: Nov 7, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[A multidimensional v-shaped distalizing osteotomy of the tibial tuberosity with a proximal buttress ("coffin-shaped"
F Riechelmann1, A Wurm2, D Putzer3
1Dept. für Orthopädie und Traumatologie, Medizinische Universität Innsbruck, Anichstraße 35, 6020, Innsbruck, Österreich. felix.riechelmann@i-med.ac.at.
Abstract:
The aim of the intervention presented is a distalization of the tibial tuberosity. It is indicated in patients with symptomatic patella alta, i.e. patients with instability of the patella. It facilitates a V-shaped osteotomy. The bone gained during distalization is used as a proximal buttress. This leads to an improved mediolateral and proximal stability. The bony surface area is increased, which improves bony healing. There were no secondary dislocations in the patient group of 10 patients treated by the surgeon.
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