Case 2, presented by Dylan Soukup, BS, Constantine A. Demetracopoulos, MD, and Scott J. Ellis, MD, describes a 75-year-old retired female with a history of flatfoot deformity who presented for evaluation due to significant lateral ankle pain, compromised gait, and severe valgus heel alignment of the left foot. She had previous procedures at an outside institution, resulting in a valgus deformity of the ankle along with worsening pain. She also experienced failed conservative treatment using a brace. After evaluation, she underwent total ankle replacement (TAR) using a stemmed, fixed-bearing prosthesis at HSS, as well as additional procedures. At 3 months postoperatively, the patient reported complete resolution of preoperative pain, the capacity to weight bear and walk several blocks pain-free, and improved ankle motion.
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