Ankle Replacement

Who Needs Ankle Replacement Surgery?

This procedure is recommended for individuals suffering from end-stage ankle arthritis that has not responded to conservative treatments such as physical therapy, medications, or bracing. Common candidates include those with:

• Osteoarthritis

• Rheumatoid arthritis

• Post-traumatic arthritis

• Severe pain and stiffness that limit daily activities

Benefits of Ankle Replacement Surgery

Ankle replacement can provide several benefits, including:

• Pain relief

• Improved range of motion

• Enhanced mobility

• Preservation of more natural movement compared to ankle fusion

• Reduced stress on adjacent joints

The Ankle Replacement Procedure

1. Preoperative Preparation

• A thorough evaluation, including imaging (X-rays, MRI, or CT scans), is conducted.

• Patients may be advised to stop certain medications before surgery.

• A discussion with the surgeon about anesthesia and recovery expectations takes place.

2. Surgery Process

• The procedure is performed under general or regional anesthesia.

• An incision is made on the front or side of the ankle.

• Damaged bone and cartilage are carefully removed.

• A prosthetic implant made of metal and plastic is placed.

• The incision is closed, and a splint or cast is applied to protect the ankle.

3. Recovery and Rehabilitation

• The initial recovery period typically lasts 6–12 weeks.

• Weight-bearing is restricted initially, with a gradual transition to walking with support.

• Physical therapy is crucial to restore strength and mobility.

• Full recovery may take several months, with continued improvement over time.

Risks and Potential Complications

As with any surgical procedure, ankle replacement carries some risks, including:

• Infection

• Blood clots

• Nerve or blood vessel damage

• Implant loosening or wear over time

• Stiffness or instability in the ankle

Long-Term Outlook

Most patients experience significant pain relief and improved mobility after ankle replacement. The lifespan of an ankle implant varies, but many last 10–15 years or longer. Regular follow-up visits with a specialist are essential to monitor the joint’s condition.

Conclusion

Ankle replacement surgery is an effective option for those suffering from debilitating ankle arthritis. If you are experiencing chronic pain and limited mobility, consult with a foot and ankle specialist to determine if this procedure is right for you.

For more information or to schedule a consultation, contact our office today.