Special Focus: Current and New Techniques for Total Ankle Replacement and Management of Associated ProblemsTotal Ankle Replacement for the Varus Unstable Osteoarthritic AnkleKim, Bom Soo MD*; Lee, Jin Woo MD, PhD†Author Information *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: [email protected]. Disclosure statement: All authors have nothing to disclose regarding this paper. Techniques in Foot & Ankle Surgery: December 2010 - Volume 9 - Issue 4 - p 157-164 doi: 10.1097/BTF.0b013e3181fcde82 Buy Metrics Abstract 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. © 2010 Lippincott Williams & Wilkins, Inc.