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In chronic septic complications of the ankle joint bony fusion can be achieved with radical resection of necrotic tissues, special positioning of the foot and extrafocal stabilisation. For non-cooperative patients with bland infections intramedullary stabilisation can be used after which early full weight bearing is possible. The correct technique of operation together with adjuvant therapy with a Septopal chain increases the healing chances of patients and reduces the time and costs of therapy. [ABSTRACT FROM AUTHOR]