In extirpation of the talus, in addition to the noticeable disfigurement of the ankle, some shortening of the extremity occurs with limitation of dorsiflexion. Disabling deformity occurs in some cases. Some ankles are definitely not stable, and consequently are painful. Deformities, especially if severe, demand operative correction, if all the criteria of a good foot and ankle are to be satisfied. This can be accomplished by tibiotarsal fusion.