The August 2026 Foot & Ankle Roundup 360 looks at: Total ankle arthroplasty appears to reduce the long-term burden of symptomatic hindfoot degeneration compared with ankle arthrodesis; A simplified two-part classification for fifth metatarsal base fractures improves reliability and may better predict healing; Excision of an os subfibulare does not compromise outcomes following modified Broström-Gould repair in adolescents; The distal metatarsal articular angle may reflect metatarsal pronation rather than true articular deformity in hallux valgus; Structural changes on CT do not explain pain severity in osteochondral lesions of the talus; Total ankle arthroplasty may offer durable outcomes for selected patients with diabetes; Largest UK series reports encouraging early outcomes after total talus replacement for complex talar pathology; Infection rates after foot and ankle surgery highlight the importance of patient optimization.