Am I a Candidate for Ankle Replacement?
Ankle replacement is one possible treatment for advanced ankle arthritis. It replaces damaged joint surfaces with metal and plastic components, with the goals of reducing pain and retaining ankle motion. Deciding whether it fits your situation requires more than choosing an implant.
When is a surgical discussion appropriate?
Pain, stiffness and difficulty walking may continue despite an appropriate course of nonsurgical treatment. Options such as bracing, activity changes, physical therapy, medication or injections can still be useful, depending on your diagnosis and health.
Dr. Miller reviews the location of your pain, earlier injuries or operations, examination and imaging. Pain near the ankle can also come from nearby joints, tendons or other structures.
Factors that influence candidacy
The assessment considers alignment, bone quality, circulation, sensation, skin condition, infection history and the demands of your activities. A deformity or associated problem may affect the plan or require additional treatment.
An ankle replacement does not restore a completely normal joint and does not suit every patient. Ankle fusion or another approach may be more appropriate in some circumstances.
Plan for the operation and the years afterward
Ask about wound care, protection and weight-bearing restrictions, rehabilitation, driving and time away from work. The timeline depends on the operation and your progress; a general schedule cannot promise when you will be ready for every activity.
Implants can wear, loosen or require further surgery. Ongoing follow-up and a discussion of suitable activities are part of the decision. A second opinion can help when you are comparing replacement, fusion and continued nonsurgical care.
Ankle replacement is one possible treatment for advanced ankle arthritis. It replaces damaged joint surfaces with metal and plastic components, with the goals of reducing pain and retaining ankle motion. Deciding whether it fits your situation requires more than choosing an implant.
When is a surgical discussion appropriate?
Pain, stiffness and difficulty walking may continue despite an appropriate course of nonsurgical treatment. Options such as bracing, activity changes, physical therapy, medication or injections can still be useful, depending on your diagnosis and health.
Dr. Miller reviews the location of your pain, earlier injuries or operations, examination and imaging. Pain near the ankle can also come from nearby joints, tendons or other structures.
Factors that influence candidacy
The assessment considers alignment, bone quality, circulation, sensation, skin condition, infection history and the demands of your activities. A deformity or associated problem may affect the plan or require additional treatment.
An ankle replacement does not restore a completely normal joint and does not suit every patient. Ankle fusion or another approach may be more appropriate in some circumstances.
Plan for the operation and the years afterward
Ask about wound care, protection and weight-bearing restrictions, rehabilitation, driving and time away from work. The timeline depends on the operation and your progress; a general schedule cannot promise when you will be ready for every activity.
Implants can wear, loosen or require further surgery. Ongoing follow-up and a discussion of suitable activities are part of the decision. A second opinion can help when you are comparing replacement, fusion and continued nonsurgical care.