Total ankle replacement for a varus unstable ankle is challenging but feasible. Clinical outcomes are satisfactory when the ankle is placed on a stable, plantigrade foot. The keys to successful replacement include optimal ligament balancing and correction of all associated deformities. Therefore, the surgeon must have a thorough understanding of the associated deformities and the appropriate surgical armamentarium to address them.
*Department of Orthopaedic Surgery, Inha University Hospital, Incheon
†Department of Orthopaedic Surgery, Yonsei University College of Medicine, Seoul, Korea
Address correspondence and reprint requests to Jin Woo Lee, MD, PhD, Department of Orthopaedic Surgery, Yonsei University College of Medicine, 250 Seongsan-no, Seodaemun-gu, Seoul 120-752, Korea. e-mail: firstname.lastname@example.org.
Disclosure statement: All authors have nothing to disclose regarding this paper.