Arthroscopic ankle fusion - Talar preparation 2Attention is then turned to the medial gutter and the medial malleolus as the next stage in preparation during arthroscopic ankle
fusion. The neighbouring surfaces of the medial malleolus and talus need to be taken back to healthy subchondral bone. Specifically enough bone should be removed here to allow the cylindrical burr a flat trajectory into the joint so that the talus can be dealt with easily.