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This study is the first of its kind to assess this risk in the Infinity total ankle system. Cite this article 2021;2(7)503-508. These findings support our hypothesis that tibial guide pins pose a considerable risk of contacting and potentially damaging posterior ankle structures during ankle arthroplasty. This study is the first of its kind to assess this risk in the Infinity total ankle system. Cite this article Bone Jt Open 2021;2(7)503-508.For decades, CT has been the primary imaging modality for the diagnosis and surveillance of pa