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Updated: Jul 23, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Anterior ankle arthrodesis with cross-screw fixation. A dowel graft method used in 20 cases
G J Stranks1, T Cecil, I T Jeffery
1Queen Alexandra Hospital, Portsmouth, England.
Abstract:
We report a new method of ankle arthrodesis which combines an anterior approach with a dowel technique of bone grafting and screw fixation. In 20 ankles of 20 patients, ten with osteoarthritis, eight with rheumatoid arthritis and two others, we achieved 19 solid bony fusions and one painless fibrous ankylosis. The average time to union was 12.5 weeks. Patient satisfaction was high and the functional results were as good as for other reported methods, with fewer complications.
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