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Updated: Oct 5, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Ankle Arthritis
Vu Le1, Andrea Veljkovic1, Peter Salat2
1Department of Orthopaedics, University of British Columbia, Faculty of Medicine, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Abstract:
Ankle arthritis is a major source of morbidity impacting a younger working age population than hip and knee arthritis. Unlike the hip and knee, more than 70% of ankle arthritis cases are post-traumatic, with the remainder being inflammatory or primary arthritis. Nonoperative treatment begins with lifestyle and shoe-wear modifications and progresses to bracing, physical therapy, anti-inflammatory medications, and intra-articular injections. Ankle arthrodesis and total ankle arthroplasty are the 2 main surgical options for end-stage ankle arthritis, with debridement, realignment osteotomy, and distraction arthroplasty being appropriate for limited indications.
Level Of Evidence:
Level V, expert opinion.
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