Ankle articulated distraction is used as a treatment for ankle arthritis. It is based on the theory that osteoarthritic cartilage in the ankle has the ability to heal. Ankle distraction involves the use of external fixation to mechanically unload the ankle joint and prevent contact between the tibia and the talus bones. Arthrodiasthesis involves joint separation as a means to induce healing of the area and optimize the body’s regenerative capacity. For younger patients, this technique may be an alternative to ankle arthrodesis or total ankle arthroplasty.