Most patients are given epidural anesthesia to eliminate feeling from the waist down or the nerves supplying the operated limb are blocked. The ankle brace procedure is most often performed by the open method - the surgeon makes an incision of several centimeters on the side or in front of the ankle joint. Thanks to this, it has maximum access to the pond and can precisely correct its incorrect position. Arthrodesis can also be performed using the arthroscopic method, which leaves minimal scars (up to 4mm), but this method is reserved for smaller degrees of deformation.

During the operation, the surgeon removes the debris of the damaged cartilage, and then prepares the end of the tibia and the talus to allow them to heal later in the corrected position. The connection is stabilized with special screws or plates. The wounds are closed and a plaster splint is placed over the foot and ankle.