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This issue of Clinics in Podiatic Medicine and Surgery is the first of two dealing with Total Ankle Replacement, guest edited by Dr. Thomas Roukis. Article topics include: Controversies in total ankle replacement, Techniques for managing varus and valgus mal-alignment during total ankle replacement, The INBONE II(TM) total ankle replacement system, The Salto(TM) mobile bearing total ankle replacement system, and The STAR(TM) implant: Surgical approach and experience with the well-aligned and severely deformed ankle.