Planning Correction of the Varus Ankle Deformity with Ankle Replacement

Ankle replacement in the presence of a varus deformity is an evolving field. Although initial results were disappointing, numerous advances in the understanding of the condition and surgical techniques have been made. More recent reports show good short-term results, especially when adjunctive procedures are combined to achieve a neutral alignment and restore lateral ligamentous stability. It is possible to correct varus deformities of 20 degrees or more with ankle replacement. It is likely with a reliable correction of alignment and balance that the long-term results of ankle replacement in significant varus deformity will be promising.