Technical Guide: Transfibular Ankle Arthrodesis with Fibular-Onlay Strut Graft

A wide range of techniques have been described for ankle arthrodesis, and although all of these have been shown to provide stability, few have been shown to achieve a solid construct in patients at risk of nonunion. In this technical guide, we describe a modified transfibular approach to ankle arthrodesis that uses a fibularonlay strut graft for use in patients at high risk for nonunion. In our experience, the technique has been effective and reliable. (C) 2010 by the American College of Foot and Ankle Surgeons. All rights reserved.