A 45-year-old male had chronic pain in left ankle - history of a non-resolving ankle sprain.
He has twisted his ankle 5 to 6 times in the last 2 years.
Treated for TB, Rheumatoid and septic arthritis in many hospitals in another state. Had recalcitrant pain.
I found lateral ankle ligamentous instability with resultant 15 to 20 degree ankle varus deformity.
MRI was showing limited ankle arthritis.
Clinically ankle had a good range of motion.
Treated by supra malleolar open wedge osteotomy with lateral ankle ligament Reconstruction.
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