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Writer's pictureFrancisco Alexander Hernandez Alvarez

Is Ankle Replacement the Best Option for You? Understanding the Procedure


We break down the ankle replacement procedure, recovery process, and potential outcomes to help you make informed decisions about your care.

Are you living with constant ankle pain that just won't quit? Is it keeping you from the activities you love and affecting your quality of life? Ankle replacement surgery could be the answer.

This transformative procedure is helping people regain their mobility and enjoy a more active lifestyle.

Let's explore this innovative procedure and see if it might be right for you.


What is Ankle Replacement?

Also known as total ankle arthroplasty, an ankle replacement is a surgical procedure where we use an artificial implant to replace the damaged parts of your ankle joint.

These metal and plastic implants are designed to mimic your ankle's natural movement.

In essence, when the cartilage in your ankle joint wears down, the bones rub against each other. This is what causes pain and stiffness. An ankle replacement creates a new, smooth surface for the joint to move on. This orthopedic ankle surgery is often recommended for people with severe ankle arthritis. Especially if it hasn't responded to other treatments, like medication, injections, physical therapy, or bracing.


Arthritis is a common condition that causes joint pain and stiffness. In the ankle, it can make walking and even standing for long periods difficult.

Some common causes of ankle arthritis include:

● Osteoarthritis. This is the "wear and tear" type of arthritis that often develops with age.

● Rheumatoid arthritis. This is an autoimmune disease that causes inflammation in the joints.

● Post-traumatic arthritis. This can develop after an ankle injury, such as a fracture or sprain.


Ankle Replacement Benefits

Pain relief. One of the biggest benefits is a significant reduction in pain. Many patients’ quality of life dramatically improves after surgery.


● Improved mobility. Ankle replacement can help you regain lost mobility and flexibility. This will help you take part in activities you gave up because of the pain.


● Restored function. The function of your ankle should return to near normal, making everyday tasks like walking, climbing stairs, and light exercise easier.


Am I a Candidate for Ankle Replacement?


Although ankle replacement is a highly effective solution, it's not suitable for everyone.

Some of the factors we use to determine if you’re a candidate are:


● Severity of condition. Candidates typically have severe ankle arthritis that impacts their daily life significantly and isn’t responding to other treatments.


● Overall health. We want to ensure you're healthy enough to undergo surgery and recover successfully.


● Lifestyle. Your activity level and expectations for recovery play a role in determining if ankle replacement is a good fit.


● Bone quality. The quality of your bones must be strong enough to support the implants and ensure long-term success.


What Happens During Ankle Replacement Surgery?


During ankle replacement surgery, one of our skilled orthopedic surgeons will:

1. Make an incision in the front of your ankle to access your ankle joint.

2. Carefully remove the damaged bone and cartilage, preparing the joint for the implant

3. Implant the artificial joint components, ensuring proper and secure alignment and fit.

4. Close the incision with stitches.


Ankle replacement surgery is typically performed under general anesthesia. You'll be asleep during the procedure.


What is Recovery Like?


After your ankle replacement operation, you'll need some time to recover and rehabilitate.

● We'll provide medication to manage any discomfort and pain during initial recovery.

● You'll likely wear a cast or splint to protect your ankle while it heals.

● You’ll need physical therapy to help you regain strength, flexibility, and range of motion in your ankle.


Although it’s different for everyone, most people can return to normal activities within a few months after surgery.


We will work with you during the recovery period to make sure you achieve optimal results.

However, it's important to follow the instructions carefully.


Frequently Asked Ankle Replacement Questions


Q: How long does an ankle replacement last?

A: Like any joint replacement, ankle replacements don't last forever. But, most implants last for 10 to 15 years; sometimes, with proper care, even longer.


Q: What are the risks of ankle replacement surgery?

A: All surgeries carry some risks, such as infection, blood clots, and nerve damage. However, these complications are rare with ankle replacement.


Q: Is ankle replacement surgery painful?

A: You can expect some pain after surgery, but we'll manage it with medication. As you heal, the pain will gradually decrease.


Q: Is ankle replacement better than ankle fusion?

A: Ankle fusion is another surgical option for ankle arthritis. It means fusing the bones in the ankle together. Ankle replacement allows for more natural movement.

Ankle fusion may be a better option for some people, depending on their circumstances.

Your surgeon can help you determine which procedure is right for you.


Q: Will I be able to walk normally after ankle replacement?

A: Yes, most patients regain a good range of motion and can walk normally after an ankle replacement.

You may experience some stiffness initially, but this usually improves with time and physical therapy.

However, high-impact activities like running or jumping aren’t advised.

We'll provide personalized guidance based on your case.


Step in Comfort

If your ankle is impacting your quality of life, talk to us.

There are thousands of methods to manage, reduce, or eliminate foot pain; you don’t need to suffer.

Our experienced surgeons will work closely with you to determine what’s the best option for you.


Book your appointment today.


Let’s get you back to taking pain-free steps!


Disclaimer: The information provided in this blog is intended for general educational and informational purposes only and does not constitute medical advice. It is essential to consult a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment. Contact us to discuss personalized care options.

While Boston Bone & Joint Institute strives to provide accurate and up-to-date information, we cannot guarantee the completeness or accuracy of the content presented in this blog.

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