Total Ankle Replacement and Supramalleolar Osteotomies for Malaligned Osteoarthritic AnklesKnupp, Markus MD*; Stufkens, Sjoerd A.S. MD†; Bolliger, Lilianna MSc*; Brunner, Samuel MD*; Hintermann, Beat MD*Techniques in Foot & Ankle Surgery: December 2010 - Volume 9 - Issue 4 - p 175–181 doi: 10.1097/BTF.0b013e3181ff273e Special Focus: Current and New Techniques for Total Ankle Replacement and Management of Associated Problems Abstract Author Information Early stages of asymmetric osteoarthritis of the ankle joint have been shown to benefit from the realignment surgery, and total ankle replacement has become an accepted alternative to fusion in end-stage osteoarthritis. Combination of the 2 procedures offers the possibility to replace the ankle joint even in severely malaligned hindfoot and may help to salvage malpositioned prostheses. In this study, we describe our experience with simultaneous correction of severe malalignment and replacement of the ankle joint. In addition, the technique of secondary supramalleolar osteotomies for the treatment of malpositioned implants is described. *Department of Orthopaedic Surgery, Kantonsspital Liestal, Liestal, Switzerland †Department of Orthopaedic Surgery, Academic Medical Centre, Amsterdam, The Netherlands Address correspondence and reprint requests to Markus Knupp, MD, Department of Orthopaedics, Kantonsspital Liestal, Rheinstrasse 26, CH-4410 Liestal, Switzerland. e-mail: email@example.com. © 2010 Lippincott Williams & Wilkins, Inc.