BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuAnkle replacementAnkle arthroplasty - total; Total ankle arthroplasty; Endoprosthetic ankle replacement; Ankle surgeryAnkle replacement is surgery to replace the damaged bone and cartilage in the ankle joint. Artificial joint parts (prosthetics) are used to replace your own bones. There are different types of ankle replacement surgeries. Description Ankle replacement surgery is most often done while you are under general anesthesia. This means you will be asleep and not feel the pain.You may have spinal anesthesia. You can be awake but will not feel anything below your waist. If you have spinal anesthesia, you will also be given medicine to help you relax during the operation.Your surgeon will make a surgical cut in the front of your ankle to expose the ankle joint. Your surgeon will then gently push the tendons, nerves, and blood vessels to the side. After this, your surgeon will remove the damaged bone and cartilage.Your surgeon will remove the damaged part of:The lower end of your shin bone (tibia). The top of your foot bone (talus) that the leg bones rest on.The metal parts of the new artificial joint are then attached to the cut bony surfaces. A special glue/bone cement may be used to hold them in place. A piece of plastic is inserted between the two metal parts. Screws may be placed to stabilize your ankle.The surgeon will put the tendons back into place and close the wound with sutures (stitches). You may need to wear a splint, cast, or brace for a while to keep the ankle from moving. You will also be instructed to not put weight on the leg until the implant has healed into the ankle. Why the Procedure Is Performed This surgery may be done if the ankle joint is badly damaged. Your symptoms may be pain and loss of movement of the ankle. Some causes of damage are:Arthritis caused by ankle injuries or surgery in the past ArthritisArthritis is inflammation or degeneration of one or more joints. A joint is the area where 2 bones meet. There are more than 100 different types of...ImageRead Article Now Book Mark Article Bone fracture FractureIf more pressure is put on a bone than it can stand, it will split or break. A break of any size is called a fracture. If the broken bone punctures...ImageRead Article Now Book Mark Article Infection Osteoarthritis OsteoarthritisOsteoarthritis (OA) is the most common joint disorder. It is due to aging and wear and tear on a joint.ImageRead Article Now Book Mark Article Osteonecrosis Rheumatoid arthritis Rheumatoid arthritisRheumatoid arthritis (RA) is a disease that leads to inflammation of the joints and surrounding tissues. It is a long-term disease. It can also aff...ImageRead Article Now Book Mark Article Tumor You may not be able to have a total ankle replacement if you have had ankle joint infections in the past. Risks Risks of any surgery and anesthesia are:Allergic reactions to medicines Breathing problems Breathing problemsBreathing difficulty may involve:Difficult breathing Uncomfortable breathingFeeling like you are not getting enough airImageRead Article Now Book Mark Article Bleeding BleedingBleeding is the loss of blood. Bleeding may be:Inside the body (internally) Outside the body (externally)Bleeding may occur:Inside the body when blo...ImageRead Article Now Book Mark Article Blood clot Blood clotBlood clots are clumps that occur when blood hardens from a liquid to a solid. A blood clot that forms inside one of your veins or arteries is calle...ImageRead Article Now Book Mark Article InfectionRisks of ankle replacement surgery are:Ankle weakness, stiffness, or instability Loosening of the artificial joint over time Skin not healing after surgery Nerve damage Blood vessel damage Bone break during surgery Dislocation of the artificial joint Allergic reaction to the artificial joint (extremely uncommon) Before the Procedure Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription.During the 2 weeks before your surgery:You may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), blood thinners (such as Warfarin or Clopidogrel) and other drugs. Ask which drugs you should still take on the day of your surgery. If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your provider who treats you for these conditions. DiabetesDiabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood.ImageRead Article Now Book Mark Article Heart diseaseCoronary heart disease is a narrowing of the small blood vessels that supply blood and oxygen to the heart. Coronary heart disease (CHD) is also cal...ImageRead Article Now Book Mark Article Tell your provider if you have been drinking a lot of alcohol, more than one or two drinks a day. If you smoke, you should stop. Ask your provider for help. Smoking can slow down wound and bone healing. It will significantly increase your complications after surgery. Always let your provider know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery. You may want to visit the physical therapist to learn some exercises to do before surgery. The physical therapist can also teach you how to correctly use crutches. On the day of your surgery:You will most often be asked not to drink or eat anything for 6 to 12 hours before the procedure. Take the drugs you were told to take with a small sip of water. Your provider will tell you when to arrive at the hospital. After the Procedure After surgery, you will most likely need to stay in the hospital for at least one night. You may have received a nerve block that controls pain for the first 12 to 24 hours after surgery.After surgeryYou had surgery to replace your damaged ankle joint with an artificial joint. This article tells you how to take care of yourself when you go home f...ImageRead Article Now Book Mark Article Your ankle will be in a cast or a splint after surgery. A small tube that helps drain blood from the ankle joint may be left in your ankle for 1 or 2 days. During your early recovery period, you should focus on keeping the swelling down by having your foot raised higher than your heart while you are sleeping or resting.You see a physical therapist, who will teach you exercises that will help you move more easily. You most likely will not be able to put any weight on the ankle for a few months. Outlook (Prognosis) A successful ankle replacement will likely:Decrease or get rid of your pain Allow you to move your ankle up and down In most cases, total ankle replacements last 10 or more years. How long yours lasts will depend on your activity level, overall health, and the amount of damage to your ankle joint before surgery.Open ReferencesReferencesMurphy GA. Total ankle arthroplasty. In: Azar FM, Beaty JH, eds. Campbell's Operative Orthopaedics. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 10.Myerson MS, Kadakia AR. Total ankle replacement. In: Myerson MS, Kadakia AR, eds. Reconstructive Foot and Ankle Surgery: Management and Complications. 3rd ed. Philadelphia, PA: Elsevier; 2019:chap 18.Rammelt S, Zwipp H, Hansen ST. Posttraumatic reconstruction of the foot and ankle. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 6th ed. Philadelphia, PA: Elsevier; 2020:chap 68.AllVideoImagesTogAnkle anatomy - illustration The ankle is a very important joint. It allows you to walk, run, skip, jump, and shift your body weight. It stabilizes you as you move across uneven ground.Ankle anatomyillustrationAnkle anatomy - illustration The ankle is a very important joint. It allows you to walk, run, skip, jump, and shift your body weight. It stabilizes you as you move across uneven ground.Ankle anatomyillustrationRelated Information Osteoarthritis(Condition)Rheumatoid arthritis(Condition)Bathroom safety for adults(Self-Care)Surgical wound care - open(Self-Care)Preventing falls(Self-Care)Ankle replacement - discharge (Discharge)Preventing falls - what to ask your doctor (Doctor Questions)Osteoarthritis(In-Depth)Rheumatoid arthritis(In-Depth) Review Date: 6/13/2021 Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. 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