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Related Concept Videos

Ankle Joint01:10

Ankle Joint

1.6K
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 4, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Bilateral Total Ankle Arthroplasty.

Amanda N Fletcher1

  • 1Ortho Carolina Foot & Ankle Institute, Charlotte, NC, USA.

Foot and Ankle Clinics
|February 3, 2024
PubMed
Summary
This summary is machine-generated.

Bilateral total ankle arthroplasty (TAA) is safe and effective for patients with severe ankle arthritis, offering outcomes comparable to unilateral TAA. This approach may provide additional benefits like cost reduction and faster recovery.

Keywords:
Ankle arthritisBilateralSimultaneousStagedTotal ankle arthroplastyTotal ankle replacement

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Area of Science:

  • Orthopedic Surgery
  • Rheumatology
  • Biomedical Engineering

Background:

  • Bilateral ankle arthritis presents a more debilitating condition compared to unilateral cases.
  • Existing literature on bilateral total ankle arthroplasty (TAA) is limited but suggests positive outcomes.

Purpose of the Study:

  • To evaluate the safety and effectiveness of bilateral TAA.
  • To compare outcomes of bilateral TAA (one-surgeon and two-surgeon teams) with unilateral TAA and staged bilateral TAA.

Main Methods:

  • Review of limited bilateral TAA literature.
  • Comparison of patient-reported outcome measures (PROMs), complications, reoperations, and prosthesis survival.

Main Results:

  • Bilateral TAA demonstrates comparable improvements in PROMs, complications, reoperations, and prosthesis survival to unilateral TAA.
  • Potential benefits include cost reduction, improved perioperative complication profiles, and enhanced patient satisfaction.

Conclusions:

  • Bilateral TAA, performed by either a single or two-surgeon team, is a safe and effective treatment option.
  • This approach mirrors the benefits observed in bilateral hip and knee arthroplasty literature, including efficiency and patient recovery.