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Updated: Jan 17, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Revision of Failed Total Ankle Replacement Arthroplasty Using Inframalleolar Correction and Oblique Sliding Fibular
1Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang-si, Gyeonggi-do, South Korea.
Case:
A 74-year-old female patient with painful left ankle osteoarthritis and a residual varus talar tilt (TT) following total ankle replacement arthroplasty presented with polyethylene insert lateral subluxation. Revision surgery was performed using a combination of calcaneal valgization osteotomy, posterior tibial tendon lengthening, and oblique sliding fibular osteotomy to address the underlying varus deforming forces. Postoperative radiographs confirmed correction of the varus TT and improved hindfoot alignment.
Conclusion:
A revision strategy combining inframalleolar correction and oblique sliding fibular osteotomy successfully corrected the residual varus TT and improved clinical symptoms, highlighting the importance of addressing underlying deformities to prevent implant failure.
