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Updated: Jan 14, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
New Perspectives on Ankle Cartilage Pathology and Treatment
Steman Jah1, Pijnacker Jhm1, Kerkhoffs Gmmj1
1Amsterdam UMC, Department of Orthopaedic Surgery and Sports Medicine, University of Amsterdam, Amsterdam Movement Sciences, Amsterdam, the Netherlands; Academic Center for Evidence Based Sports Medicine, Amsterdam, Netherlands; Amsterdam Collaboration for Health and Safety in Sports (ACHSS), International Olympic Committee (IOC) Research Center Amsterdam UMC.
Abstract:
This article describes the etiology, diagnosis and current (arthroscopic) treatment options for osteochondral lesions of the talus (OLT) and tibial plafond (OLTP). OLTs and OLTPs should first be treated nonoperatively. In case of failure, arthroscopic techniques such as bone marrow stimulation or fixation can be performed. For larger, and/or secondary lesions, where arthroscopic techniques are not feasible, open techniques are also available.
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