This manuscript serves to educate the reader as to pedorthic and orthotic principles and tools available to the surgeon when managing those with ankle fusions. Footwear, footwear modifications, foot orthoses, and ankle foot orthoses with be illustrated as necessary postoperative recommendations after primary ankle arthrodeses or in light of secondary complications.The document also serves to inform the reader of biomechanical objectives, including replacing lost motion, protection of associated articulations, and the accommodation for any leg length discrepancies created from the surgery.Footwear and footwear modifications should be very closely evaluated and discussed when managing patients with ankle fusions to insure higher quality outcomes.Foot orthoses and ankle foot orthoses may be necessary if dealing with a nonunion or a malalignment case. This paper will explore these options when and if faced with secondary complications from this type of surgery.