ABSTRACT
<p><b>OBJECTIVE</b>To introduce the application of Ilizarov technique in ankle fusion with serious pathology and failed ankle arthrodesis.</p><p><b>METHOD</b>The medical records and images of 9 cases of complex ankle fusion using Ilizarov external fixator were analyzed. Among the 9 cases, 6 received revisional ankle fusion, and 3 primary fusion for septic arthritis. All the cases were followed up for an average of 18.1 months.</p><p><b>RESULTS</b>Six cases showed good results, i.e, no or mild pain, occasional limp and stable fusion and 3 cases fair results, i.e, moderate pain, persistent limp or occupational restriction, and stable fusion.</p><p><b>CONCLUSION</b>Ilizarov technique is one of the effective method for the treatment of complex ankle arthrodesis.</p>