SummaryDespite the best efforts of any orthopaedic surgeon, there are times when the standard methods of internal fixation fail. This failure can occur due to biological or mechanical means. When failure is due to mechanical issues, the goal is to preserve as much functional motion in the ankle joint as possible. Therefore, it is important to recognize the problem early and correct it before significant arthropathy develops. This article covers some general failure scenarios found around the ankle and provides some suggestions on correction to restore alignment and function. Many of these techniques can also be used initially to help avoid potential problems.