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(A) The joint is exposed between the anterior tibial and extensor hallucis longus tendons. (Reprinted with permission from Endres T, Grass R, Rammelt S, Zwipp H. Ankle arthrodesis with four cancellous lag screws [in German]. Oper Orthop Traumatol. 2005;17:345–360.) (B) The intraoperative aspect of the ankle displays end-stage arthrosis with only a minimum amount of cartilage left (*).
