Total ankle replacement through a lateral transfibular approach with trabecular metal implants was introduced in 2012 and originally was advertised as a safer approach in terms of wound healing issues. Further studies showed no significant difference comparing anterior and lateral approach for infections and would healing issues, whereas the main advantage is deformity correction, acting on coronal, sagittal, and rotational deformities and on fibular length issues. It showed a survival rate of 97.7% at 5 years follow-up.
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Transfibular Total Ankle Arthroplasty: Clinical, Functional, and Radiographic Outcomes and Complications at a Minimum of 5-Year Follow-up.
Foot Ankle Int
January 2025
Institute for Foot and Ankle Reconstruction at Mercy, Baltimore, MD, USA.
Background: The Trabecular Metal Total Ankle Implant differs from other newer-generation implants in the transfibular approach, multiplanar external frame for alignment, tantalum trabecular metal interfaces, curved geometry, and shallow resection depths. The primary aim of this study was to report midterm clinical and radiographic results, as well as survivorship and adverse events at a minimum of 5-year follow-up.
Methods: A total of 83 ankles (81 patients, average age 60.
Outcomes of Lateral Transfibular Approach for Total Ankle Replacement.
Foot Ankle Clin
March 2024
Ortopedia della Caviglia e del Piede, Humanitas San Pio X, Via Francesco Nava, 31, Milan 20159, Italy.
Total ankle replacement through a lateral transfibular approach with trabecular metal implants was introduced in 2012 and originally was advertised as a safer approach in terms of wound healing issues. Further studies showed no significant difference comparing anterior and lateral approach for infections and would healing issues, whereas the main advantage is deformity correction, acting on coronal, sagittal, and rotational deformities and on fibular length issues. It showed a survival rate of 97.
View Article and Find Full Text PDFSimultaneous hybrid closed-wedge supramalleolar osteotomy and ankle arthrodesis for post-traumatic varus ankle arthritis with periarticular deformity: A case report.
Mod Rheumatol Case Rep
December 2023
Department of Orthopaedic Surgery, Fujieda Heisei Memorial Hospital, Shizuoka, Japan.
The treatment of end-stage ankle arthritis associated with extra-articular tibial deformity, especially for ankles deformed by previous traumatic injuries and/or surgical treatment, is extremely challenging but rewarding. Only one previous report describes simultaneous tibial deformity correction and ankle arthrodesis for tibial malalignment and ipsilateral ankle arthritis. Here, we describe a unique case of post-traumatic ankle osteoarthritis concomitant with extra-articular varus deformity in a 77-year-old female.
View Article and Find Full Text PDFResults of Transfibular Total Ankle Arthroplasty. A Series of 50 Implants.
J Foot Ankle Surg
July 2023
Foot and Ankle Unit, Department of Orthopaedics and Traumatology Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain; Department of Orthopaedics and Traumatology Surgery, Complejo Hospitalario Ruber Juan Bravo, Madrid, Spain; Associate Professor, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.
Total ankle arthroplasty has become popular in the last few years. The lateral transfibular approach is an alternative to the traditional anterior approach. The purpose of this study was to evaluate our 50 first and consecutive clinical and radiological outcomes of transfibular total ankle replacements (Trabecular Metal Total Ankle Zimmer Biomet, Warsaw, IN) with a follow-up of at least 3 years.
View Article and Find Full Text PDFDeformity Correction in Ankle Osteoarthritis Using a Lateral Trans-Fibular Total Ankle Replacement: A Weight-Bearing CT Assessment.
Iowa Orthop J
January 2023
Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Background: Ankle osteoarthritis (AO) is often secondary to prior trauma and frequently presents with joint deformity. Total ankle replacement (TAR) has been shown as a viable surgical option to reduce pain, improve function, and preserve ankle joint range of motion. The standard TAR uses an anterior approach, but recently a lateral trans-fibular approach has been developed.
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