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J Vis Exp. 2018 Jan 24;(131). doi: 10.3791/56396.

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

Author information

1
Galeazzi Orthopedic Institute for Research and Care; fusuelli@gmail.com.
2
Galeazzi Orthopedic Institute for Research and Care; Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano.
3
Galeazzi Orthopedic Institute for Research and Care.

Abstract

Total ankle replacement (TAR) is a valid option for the treatment of ankle osteoarthritis. The traditional surgical approach for TAR is the anterior approach. Recently, the lateral transfibular approach to the ankle has gained popularity since a new TAR implant was designed to be performed via this approach that results in an ideal visualization of the center of rotation of the ankle and curved resections that allow for sparing bone cuts. The aim of the present paper is to present our preoperative, operative, and postoperative protocols for the treatment of the osteoarthritis of the ankle with TAR via lateral approach. We present our preoperative clinical and radiographic protocol. In addition, we describe our surgical technique with some technical tips. Finally, we report our follow-up schedule that includes the collection of clinical, functional, and radiographic data. The results of this procedure are encouraging: TAR through a lateral transfibular approach provides reliable pain relief and improvements in functional outcomes in patients with ankle osteoarthritis.

PMID:
29443030
PMCID:
PMC5908692
[Available on 2020-01-24]
DOI:
10.3791/56396
[Indexed for MEDLINE]

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