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Updated: Oct 4, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
[Initial and surgical care of foot ailments]
Héloïse Boullenois1, Hugues Lefort2, Arnaud de Rousiers1
1Service de chirurgie orthopédique, hôpital d'instruction des armées Bégin, 94160 Saint-Mandé, France.
Abstract:
A rare lesion, limb dislocation, particularly of the foot, is extremely serious. Its initial mortality is related to hemorrhage. Its morbidity is major due to lack of skin coverage of the bones and infection with functional issues. Management remains poorly codified and unknown, and requires a multidisciplinary medical and paramedical team from pre-hospital to rehabilitation. The initial surgery is ideally conservative to control the infection and cover the persistent skin flaps. An unfavorable evolution imposes amputation, sometimes early.
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