Is ankle replacement better than fusion?
For older, active patients, replacement is often better because it preserves natural gait and protects adjacent joints. Fusion is more durable for heavy laborers.
Treatment/Treatment Details
Ankle Replacement Surgery
Restore ankle function and relieve chronic pain with Ankle Replacement Surgery. This procedure replaces damaged bone and cartilage with a precision-engineered prosthesis, preserving motion and enabling a more natural gait compared to fusion.
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Motion-Preserving Ankle Reconstruction
Ankle Replacement Surgery (total ankle arthroplasty) is an advanced surgical procedure designed to alleviate chronic ankle pain and restore function by replacing damaged bone and cartilage with a precision-engineered prosthesis. If severe ankle arthritis is limiting your mobility, this surgery offers a path to relief. By resurfacing the joint and implanting a specialized metal and medical-grade plastic device, ankle replacement aims to preserve motion and enable a more natural gait compared to traditional ankle fusion. This is a motion-preserving alternative for end-stage ankle arthritis.
Explore Foot & Ankle Conditions & Treatments
View all foot & ankle conditions and treatment options →Ideal Candidates for Ankle Replacement
- Patients with end-stage ankle arthritis (osteoarthritis or rheumatoid arthritis) unresponsive to conservative care
- Individuals with severe and persistent ankle pain during weight-bearing activities
- Those with significant ankle stiffness and reduced range of motion
- Patients with post-traumatic arthritis from previous ankle fractures or injuries
- Individuals seeking to preserve ankle motion rather than fusion
What Conditions does Ankle Replacement Surgery Help Ease?
This procedure may help with:
The Ankle Replacement Procedure
- Following consultation and advanced imaging (weight-bearing CT scans), the procedure is performed under anesthesia
- An incision is made at the front or side of the ankle to access the joint
- The damaged ends of the tibia and talus are carefully removed
- Using precise instruments and often computer-assisted navigation, bone surfaces are prepared
- The artificial joint components (metal and polyethylene spacer) are implanted
- The components are designed to mimic the natural motion of the ankle
Benefits of Ankle Replacement Surgery
- Significant reduction or elimination of chronic ankle pain caused by arthritis
- Improved range of motion in the ankle compared to pre-surgery or ankle fusion
- Restoration of a more natural walking pattern (gait)
- Increased ability to perform daily activities and participate in low-impact recreational activities
- Preservation of motion, which is a key advantage over ankle fusion
Recovery from Ankle Replacement
Recovery Timeline: 6-12 Months for Full Recovery
Recovery from Ankle Replacement Surgery is a gradual process. The ankle is immobilized initially in a splint or cast. Weight-bearing restrictions are in place for several weeks (typically 6 weeks or more). Physical Therapy is crucial, usually starting a few weeks after surgery to restore range of motion, strength, balance, and normal gait mechanics. Full recovery, including return to most daily activities, can take 6-12 months. High-impact activities are generally discouraged to preserve implant longevity.
Related Foot & Ankle Treatments
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Frequently Asked Questions
How long does the implant last?
Current data shows 85-90% survival rates at 10 years. While not as long-lived as hip or knee replacements, technology is rapidly improving.
Can I run after surgery?
Running is generally not recommended as it wears out the plastic liner quickly. Hiking, doubles tennis, cycling, and golf are excellent activities.
What is the recovery timeline?
Non-weight bearing for 4 to 6 weeks. Boot walking for another 4 weeks. Return to normal shoes at 3 months. Full recovery at 6 to 12 months.
Schedule a Consultation Today
Severe ankle arthritis or chronic ankle pain? Start your recovery with expert orthopedic care. Schedule a consultation with Mountain Spine & Orthopedics.
Locations Offering Evaluation
Our board-certified specialists offer ankle replacement surgery evaluation and treatment at locations across Florida, New Jersey, New York, and Pennsylvania. Schedule a consultation at a clinic near you.
