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

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Weber Fibular Osteotomy and Variations.

Byron Hutchinson¹

¹International Foot & Ankle Foundation, Education & Research, St. Anne Hospital, Burien, WA, USA.

Clinics in Podiatric Medicine and Surgery

|November 20, 2025

Summary

Early surgery using fibular osteotomy restores ankle joint stability and congruency. This intervention can delay the need for ankle fusion (arthrodesis) or joint replacement.

Area of Science:

Orthopedic Surgery
Ankle Reconstruction

Background:

Ankle instability and incongruency often necessitate surgical intervention.
Fibular length discrepancies can lead to significant ankle joint pathology.

Purpose of the Study:

To evaluate the efficacy of early surgical intervention with fibular osteotomy.
To assess the impact of fibular osteotomy on delaying ankle arthrodesis or implant.

Main Methods:

Surgical technique involves fibular osteotomy to correct length.
Osteotomy type is selected based on fibular rotation and syndesmotic involvement.

Main Results:

Restoration of fibular length leads to improved ankle joint congruency.
Early intervention can postpone the requirement for ankle fusion or replacement.

Keywords:

Ankle fracture Fibular osteotomy Intrinsic ankle valgas Malunited fibula Weber osteotomy

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Conclusions:

Fibular osteotomy is an effective method for restoring ankle stability.
This surgical approach can be a valuable strategy in managing ankle joint instability.