Problem: There are known numberous surgical treatments for problems of arthrotic ankle-joints. Recently there is comeing up more and different kind of arthroplasty. The overall aim is to create good axis, stable situation and full weight-bearing situation without pain for a long time.

Our technique is a single anterior surgical aproach and internal fixation with 2 cannulated percutaneous titanium screws.

This procedure allowes both in young active persons and in cases after failed surgery a good and recomendable solution with early weight-bearing and durable results without following surgery.

Method and Results: We present our follow up results of 40 Patients in paired samples tests and VAS at minimum 24 month.

Difficult revisionsurgery and degenerative cases are shown in pictures. Cases of Revision after Arthroplasty are done.

Facit: In our hands this procedure is the standard procedure. We can reach the aim of good, safe and longterm standing results. The biomechanical positioning is mandatory. The overuse of following joints is not clinicly relevant and reduceable by wearing adapted shoes.

Even in cases of revisionsurgery after arthroplasty the modification with “malleolus lateralis-Interposition” is a good possbility to reach functionally good results without loosing height at safe softtissue.