Ankle fusion-parallel talar and tibial resection.
After parallel tibial and talar resection the talus should easily be translatable proximally to make good contact with the tibia to allow ankle fusion. In non deformed ankles this is generally the case. In significant varus deformities(as with this case) the hypertrophied medial malleolus will often impinge upon the medial talar body and provide a bony block to reduction.