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Related Concept Videos

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Bones of the Lower Limb: Tibia and Fibula01:10

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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Knee Joint01:23

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Updated: Aug 8, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Ankle Joint Salvage for Rigid Flatfoot Deformity.

Kshitij Manchanda1, George Tye Liu1, Matthew J Johnson1

  • 1Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, 1801 Inwood Road, Dallas, TX 75390-8883, USA.

Clinics in Podiatric Medicine and Surgery
|February 25, 2023
PubMed
Summary

Treating rigid flatfoot with valgus ankle instability requires careful evaluation. Surgical options range from reconstruction to arthroplasty, with a focus on achieving a plantigrade foot before ankle procedures.

Keywords:
Ankle arthritisAnkle arthroplastyAnkle replacementFlatfootValgus ankle

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Area of Science:

  • Orthopedics
  • Foot and Ankle Surgery
  • Biomechanics

Background:

  • Rigid flatfoot deformity with valgus ankle instability presents complex treatment challenges.
  • Accurate clinical and radiographic assessment is crucial for guiding treatment decisions.

Purpose of the Study:

  • To review current treatment strategies for rigid flatfoot with valgus ankle instability.
  • To highlight the importance of foot correction prior to ankle procedures.
  • To discuss the evolving role of ankle arthroplasty versus arthrodesis.

Main Methods:

  • Review of nonoperative (bracing, orthoses) and surgical (ligament reconstruction, osteotomies, arthrodesis, arthroplasty) interventions.
  • Emphasis on staged surgical approaches when necessary.
  • Discussion of potential complications like edge loading in ankle replacement due to misalignment.

Main Results:

  • Nonoperative management typically involves bracing or orthoses.
  • Surgical options are diverse, including reconstruction, osteotomies, fusion, and joint replacement.
  • A plantigrade foot is a prerequisite for successful ankle deformity correction.

Conclusions:

  • A staged approach is often necessary, prioritizing foot correction before addressing ankle instability.
  • Advancements in ankle arthroplasty offer motion-preserving alternatives to arthrodesis.
  • Proper implant alignment is critical to prevent early failure in ankle replacement surgery.