Ankle Replacement

Injury	Disease	Nutrition	Poison

Symptoms	Surgery	Test	Special Topic

Ankle anatomy

Overview

Recovery

Risks

Ankle Replacement

Alternative Names:

Ankle arthroplasty - total; Total ankle arthroplasty

Expectations after surgery:

The patient will be in the hospital up to four days. Physical therapy to improve ankle motion may be prescribed a few days after the procedure. To avoid swelling, the foot may be raised higher than the heart while sleeping or resting.

Convalescence:

Recovery can take two to three months. The patient should stay off their foot for several weeks, and use a walker or crutches. High-impact activities, such as step aerobics, should be avoided while recovering from ankle replacement surgery.

A successful ankle replacement will eliminate pain and allow the ankle to move up and down. In general, total ankle replacements last from 10 to 15 years, depending on the patient’s activity level and overall health.

It is important to note that there are few, medium to long-term studies yet on the newer total ankle replacement procedures. Early results are promising, but complication rates may be as high as 25%. Discuss the risks and benefits of this procedure with your health care provider.

References:

Su EP, Kahn B, Figgie MP. Total ankle replacement in patients with rheumatoid arthritis. Clin Orthop Relat Res. 2004 Jul;(424):32-8.

Knect SI, Estin M, Callaghan JJ, et al. The Agility total ankle arthroplasty. Seven to sixteen-year follow-up. J Bone Joint Surg Am. 2004 Jun;86-A(6):1161-71.

Hebert MB, Coetzee JC. The Agility Total Ankle Replacement: A Prospective Outcome Study with Minimum Two Year Follow-Up. Washington, DC. American Academy of Orthopaedic Surgeons' 2005 Annual Meeting. Podium Presentation. February 24, 2005. Paper No: 126.

Review Date: 7/5/2005
Reviewed By: A.D.A.M. editorial and Kevin B. Freedman, MD, MSCE, Sports Medicine, Orthopaedic Specialists, Bryn Mawr, PA. Review provided by VeriMed Healthcare Network.

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