Failed Total Ankle Arthroplasty - What Would You Do?

How are you managing failed total ankle replacement?

This patient underwent an ankle replacement 5 years ago at an outside hospital.
Patient has been in pain and walking on the side of their foot. Slowly getting worse.

Clinical Varus. Radiohraphic varus.
Infinity tibia and Inbone talus

What’s next?
- Conversion to fusion
- Revision to a replacement
- Staged revision

Patient underwent removal of implants then revision to Inbone tibia and Invision talus. Frozen & GS negative.
Foot deformity needed to be corrected as well. Dwyer and lateral displacement calcaneal osteotomy with base of 1st DF Osteotomy
Lateral ligaments stretched out. Modified Brostrum was needed too

What would you have done differently?

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