Figs. 1.

Figs. 1, 2: Patient 1—a 49-year-old woman presented with florid infection and destruction of the subtalar joint and talus and preexisting arthrodesis of the ankle after an initial fracture and multiple operations. When the patient was referred to our hospital, antibiotic chains were still present in the subtalar joint. Figs. 3, 4: Patient 1—x-ray image after talus resection, extensive debridement and placement of an AO fixator. The talus was completely destroyed due to infection, which is why it was completely removed. After initial VAC therapy, a plastic flap covering with the anterior lateral thigh (ALT) flap was necessary. Figs. 5, 6: Patient 1—after the soft tissue was successfully covered, the Ilizarov fixator was installed. Figs. 7, 8: Patient 1—after the fixator had been worn for 33 weeks, it was removed and consolidation was observed. Figs. 9, 10: Patient 1—clinical picture at the last follow-up examination after 121 months. The woman was able to walk, and the AOFAS score was 62 of 86 possible points