End-stage ankle arthritis is a painful and functionally limiting condition that can significantly worsen quality of life.1 Ankle arthrodesis, a common surgical procedure for ankle arthritis, provides good pain relief, patient satisfaction, and clinical outcomes when fusion is achieved.2,3 Potential disadvantages include malunion and
nonunion,4 malalignment, limited range of motion (ROM), altered gait mechanics,5 and development of adjacent joint arthritis requiring reoperation.6