Figure 2: A and B show right ankle arthritis with a subtalar bony coalition in a 68 year-old lady. The bony subtalar coalition was confirmed on a CT scan and she had no subtalar motion. She is a slim and active lady who declined the option of ankle arthrodesis as she wants to continue wearing high heels for ballroom dancing. C and D shows total ankle arthroplasty performed using the Scandinavian Total Ankle Replacement (STAR) implant. She was ambulating independently at 6 weeks post-surgery with good range of motion.