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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.
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Kim et al. (2010) studied this question.
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