Lateral Approach Versus Anterior Approach in Total Ankle Replacement

Inclusion Criteria: * Individuals must be older than 18 and younger than 90 years of age, both genders. * Participants must be experiencing symptoms related to their baseline condition for at least six months before the surgery. * Clinical and radiographical clinical diagnosis of ankle arthritis. * Surgical planning of total ankle replacement. Exclusion Criteria: * Previous surgery for total ankle replacement or ankle arthrodesis. * History or documented evidence of autoimmune or peripheral vascular diseases. * History or documented evidence of peripheral neuropathy (nervous compression syndrome, tarsal tunnel syndrome) or systemic inflammatory disease a (rheumatoid arthritis, seronegative, connective, etc.); * Any condition that represents a contraindication of the proposed therapies. * Any physical or social limitation that makes the protocol continuation unviable. * Impossibility or incapacity to sign the informed Consent Form. * Presence of infectious process (superficial on the skin and cellular tissue, or deep in the bone) in the region to be treated. * Pregnancy. * Clinical and imaging diagnosis of untreated osteoporosis. * Serum vitamin D levels below 20ng/ml. * Non-palpable anterior or posterior tibial pulse; or abnormal capillary filling. * Tumor lesions (primary or secondary tumors).