The Valgus Ankle

The valgus ankle is a complex deformity with many possible origins. The most common cause, however, is degenerative in the form of untreated chronic posterior tibial tendon dysfunction. Regardless of the cause, the principles of treatment remain the same: One must attempt to achieve a painless, plantigrade foot while preserving maximal flexibility. Various options are available for treatment, including osteotomies, fusions, and arthroplasty. Each has its own advantages and disadvantages. The valgus ankle can lead to severe deformity, debility, and pain, stressing the importance of optimal management of this condition. This article reviews the entity of the valgus ankle, discusses its clinical recognition, and reviews forms of treatment.