Total ankle replacement surgery is a specialized procedure designed to relieve pain and improve mobility for patients suffering from severe ankle arthritis and chronic ankle pain. In this article, we’ll explain what total ankle replacement involves, which conditions it can treat, who may not be a good candidate, and how to prepare for surgery.
If you’re struggling with persistent ankle pain or ankle arthritis that’s affecting your daily life, Orthopedic Specialists & Sports Medicine is here to help. Contact our offices in Granville or Coshocton, Heath, Ohio, today to schedule an appointment.
Total ankle replacement surgery is a type of foot and ankle surgery where a damaged ankle joint is replaced with an artificial implant. This procedure is typically used to treat end-stage ankle arthritis when other treatments have failed to relieve pain.
During surgery, the worn-out surfaces of the ankle bones are removed and replaced with metal and plastic components that allow smooth motion. These implants typically consist of a tibial component (which attaches to the shinbone) and a talar component (which connects to the foot).
Compared to ankle fusion surgery, which eliminates joint movement, total ankle replacement aims to preserve motion while still reducing ankle pain. This can lead to improved function and less stress on other joints in the foot and leg.
Total ankle arthroplasty is primarily used to treat severe ankle arthritis, including:
Patients with advanced ankle arthritis often experience stiffness, swelling, and chronic ankle pain that limits walking, standing, or other daily activities. When conservative treatments like medications, bracing, and physical therapy are no longer effective, orthopedic surgeons may recommend ankle replacement to relieve pain and restore mobility.
While total ankle replacement offers excellent outcomes for many patients, it is not suitable for everyone. Individuals may not be candidates if they have:
In these cases, your orthopedic surgeon may recommend ankle arthrodesis (ankle fusion) instead, which permanently stiffens the joint to relieve pain.
Preparation begins with a comprehensive consultation. Your orthopedic surgeon will evaluate your ankle’s condition, review X-rays or other imaging, and discuss your medical history. Once cleared for surgery, your care team may:
Total ankle replacement is typically performed under general anesthesia or regional anesthesia, depending on your health status and surgical plan. The procedure generally lasts 2–3 hours.
Here’s what to expect during surgery:
Most patients stay in the hospital overnight and go home the next day with instructions on elevation and rest.
Like any surgical treatment, ankle replacement carries both benefits and potential risks.
Benefits include:
Risks may include:
Your surgeon will help you weigh these risks against the potential benefits based on your health and activity level.
Recovery from total ankle replacement is gradual and requires commitment. You’ll likely need to wear a cast or boot and keep weight off your ankle for 6–8 weeks. Once cleared, you’ll start physical therapy to regain motion and strength.
A physical therapist will guide your recovery, helping reduce ankle pain, improve balance, and restore your walking pattern. With time, most patients experience less pain, increased stability, and greater comfort during daily activities.
If you’re living with ankle arthritis or persistent ankle pain that’s affecting your lifestyle, total ankle replacement surgery may be a life-changing solution. At Orthopedic Specialists & Sports Medicine, our experienced foot and ankle surgeons provide personalized, evidence-based care to help you return to the activities you love.
Schedule your consultation today at one of our convenient locations in Granville or Coshocton, OH, to find out if total ankle replacement is right for you. We’re here to help you move with less pain and greater confidence.
Medically reviewed by Tung Dao, DPM, MS
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