Ankle Replacement Surgery
Ankle replacement surgery (ankle arthroplasty) is a treatment option for advanced, chronic ankle arthritis that results in severe pain, stiffness and limited mobility. It may be recommended when non-surgical treatments – such as medication, bracing, physical therapy or injections – are no longer effective and daily activities become difficult.
What is Ankle Replacement Surgery
Ankle replacement surgery replaces damaged cartilage and bone in the ankle joint with an artificial implant. The ankle joint is where the shinbone (tibia) meets the top bone of the foot (talus).
Arthritis from conditions such as osteoarthritis, rheumatoid arthritis or post-traumatic arthritis can wear down the smooth cartilage that cushions these bones, leading to pain, stiffness, inflammation and swelling. An ankle replacement removes the damaged joint surfaces and replaces them with artificial components to reduce pain and restore function.
This procedure can help improve ankle strength, stability and range of motion. Because the implant is designed to move like a natural joint, many patients experience improved flexibility, less pain with walking and a return to a more active lifestyle.
What to Expect During Surgery
Your Summa Health foot and ankle specialist will guide you through the details of your individual procedure. In general, the surgeon makes an incision to access the ankle joint, removes the damaged bone and cartilage from the tibia and talus, and replaces these surfaces with artificial implants. The procedure typically takes about two hours.
Risks of Ankle Replacement Surgery
While ankle replacement is successful for many patients, potential risks include:
- Infection
- Nerve injury
- Bleeding
- Blood clots
- Bones not healing properly
- Misalignment of bones
- New arthritis in nearby joints
- Loosening or wear of the artificial components, which may require future surgery
Your specific risk will depend on your age, overall health and other factors. Smoking, low bone density and diabetes may increase the likelihood of complications. Discuss your individual risks and any concerns with your Summa Health foot and ankle specialist.
Ankle Replacement Recovery
After surgery, you may need a splint and crutches for several weeks. Elevating your leg during the first week helps reduce swelling. You will not be able to put full weight on your foot for several months, but physical therapy will play a key role in restoring balance, strength and motion.
Reach out to your Summa Health foot and ankle specialist right away if you experience increasing pain, fever or chills. Keeping all follow-up appointments is essential so your provider can monitor your recovery. Full recovery from ankle replacement may take up to one year.
Meet Our Foot and Ankle Team
Part of the Summa Health Orthopedics Institute, our foot and ankle team is led by board-certified, fellowship-trained surgeons with advanced expertise in treating complex foot and ankle injuries, disorders and deformities.
Patient Story
Jennifer Frank
Orthopedic Surgery Patient
Jennifer is back to enjoying life again with her horses after having a total ankle replacement at Summa Health.