Reconstruction of failed ankle fractures

Ankle fractures are some of the most common injuries that are treated by orthopedic surgeons. Optimal long-term results of ankle fractures require accurate reconstruction, a thorough understanding of the mechanism of injury, and accurate radiographic assessment. Failure to reduce and maintain fractures and dislocations around the ankle properly predisposes to instability and late osteoarthritis. This article focuses on the reconstruction of failed ankle reconstruction that results in malunion or nonunion. The indications for fusion or arthroplasty to treat end-stage degenerative changes are discussed. The treatment of concomitant infection and neuropathic fractures are outlined.