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Updated: Aug 6, 2026
Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
Ankle Arthrodesis After Joint Destruction from Septic Arthritis in a High-Risk Patient Using a Novel Intra-Articular
Yong Ng1, Steesy Benedicta2, Choon Chiet Hong1
1Department of Orthopaedic Surgery, National University Hospital, National University Health System, Singapore, Singapore.
Case:
A 75-year-old man presented with left ankle septic arthritis on a background of multiple surgeries for bilateral lower limb necrotizing fasciitis involving free flap and skin grafting. We employed a unique technique of ankle arthrodesis using intra-articular pinning with a combination of Schanz pins and Kirschner wires for ankle arthrodesis after joint destruction from septic arthritis following adequate debridement and curettage achieving partial union at 3 months and complete union by 6 months, with the patient returning to full activities of daily living at 1 year.
Conclusion:
This case demonstrates an effective and viable alternative strategy for ankle arthrodesis using a unique intra-articular pinning construct which functioned as a removable internal fixation construct in a patient with complex soft-tissue envelope.