“…There is, however, a lack of documentation for procedural techniques and outcomes in the setting of ankle-driven pathology with fibular deformity (9.10). Moreover, indications for total ankle arthroplasty continue to expand, with the ability to correct large deformity through implantation, or with ancillary procedures performed in conjunction with implantation (11,12). With improved technology and biomechanical advancements in total ankle joint arthroplasty, this procedure can be an efficous in the treatment of ankle-driven deformity and arthritis even in the setting of FH, with fibular, distal tibial and foot deformities.…”