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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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Updated: Jul 16, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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The Posttraumatic Tarsometatarsal Joints.

Lant Abernathy1, Steven A Tocci1, Ryan T Scott1

  • 1The CORE Institute Advanced Foot and Ankle Reconstruction Fellowship, The CORE Institute, 9321 W Thomas Road Suite 205, Phoenix, AZ 85037, USA.

Clinics in Podiatric Medicine and Surgery
|September 16, 2023
PubMed
Summary
This summary is machine-generated.

Tarsometatarsal joint injuries can lead to posttraumatic arthritis, a common complication. This article reviews both nonoperative and operative treatments for this condition.

Keywords:
Midfoot arthrodesisMidfoot fusionOsteoarthritisTarsometatarsal

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Podiatry

Background:

  • Tarsometatarsal joint injuries often result from trauma.
  • Posttraumatic arthritis is a frequent complication, affecting up to 58% of patients.
  • This condition can cause significant pain and disability.

Purpose of the Study:

  • To discuss nonoperative and operative management strategies for posttraumatic tarsometatarsal joint arthritis.
  • To review the existing literature on treatment outcomes.
  • To provide practical tips and techniques from the authors.

Main Methods:

  • Review of current literature on tarsometatarsal joint arthritis management.
  • Discussion of conservative treatment options (e.g., orthotics, injections).
  • Analysis of surgical joint preparation and fixation techniques.

Main Results:

  • Conservative treatments offer some relief for posttraumatic arthritis.
  • Various surgical techniques demonstrate positive clinical and radiographic outcomes.
  • Literature supports multiple approaches to managing this complex condition.

Conclusions:

  • Effective management of posttraumatic tarsometatarsal joint arthritis involves considering both nonoperative and operative options.
  • Surgical techniques for joint preparation and fixation are crucial for successful outcomes.
  • Further research and technique refinement can improve patient prognoses.