Appropriate staging techniques in total ankle reconstruction

Varus and valgus ankle deformities were once considered contraindications for TAA, primarily treated by tibiotalar fusions. As the total implant generations matured in conjunction with evolving surgeon techniques indications arthroplasty grew. Currently, may receive if deformity is corrected either at time of implantation or beforehand. There exists a lack consensus literature regarding most appropriate timeframe these procedures to be performed, oftentimes protocols are unique each individual surgeon. In this text authors present protocol that has been developed employed overwhelmingly positive results. This was goal returning early ambulation reducing amount surgical trauma any one given procedure. These tenants allow optimization procedure's function as well respecting healing necessary reconstructive surgery. It author's hope serve steppingstone other surgeons develop their criteria suit comfort level.Level Clinical Evidence: 5.