July 7, 2017

Do I need a total ankle replacement?

Foot and Ankle | Total Joint Replacement

Total ankle replacement surgery, also known as a total ankle arthroplasty, is used to treat ankle arthritis. This is an alternative to an ankle fusion.  The operation can relieve pain and maintain motion in the ankle joint.


The ankle joint is made up of the two bones of the lower leg (tibia and fibula) and the first bone in the foot (talus). Cartilage covers the ends of the bones in the joint and allows the bones to move smoothly.

However, the ankle joint cartilage can wear away causing pain and stiffness.


  • Osteoarthritis: Results from gradual wearing away of the cartilage and is the most common form of arthritis.
  • Rheumatoid arthritis: A chronic inflammatory disease of the joints that results in pain, stiffness and swelling. Usually affects several joints of the body.
  • Injury: Arthritis can arise following ankle injuries such as sprains and fractures.
  • Infection

Physician examination

To determine whether you need an ankle replacement, your physician will ask you for a complete medical history including your current symptoms, past treatment methods, as well as your medical history and conduct a physical examination. X-rays are typically performed to assess with the evaluation. Sometimes other tests such as a CT scan or MRI  scan may be needed.

Make an appointment with an foot and ankle specialist at OrthoIndy

Total ankle replacement surgery

Prior to having an ankle arthroplasty nonsurgical treatment is typically attempted. This may include medications such as anti-inflammatory medicines, cortisone injections, physical therapy, activity modification and bracing.  Most insurance companies require at least six months of failed treatment before undergoing surgery.

During a total ankle replacement the damaged parts of the ankle bones are replaced with a prosthesis (artificial component). There are several types of ankle replacements and the components come in different sizes. Your physician will determine the best option for you.

Recovery from an ankle arthroplasty

A patient will stay one to three nights in the hospital after surgery. Strict elevation for many days after the procedure is necessary to control swelling and improve wound healing. Because most components require bone ingrowth into the prosthesis, it is necessary to stay non-weight bearing for four to six weeks after surgery.

During this time patients are typically in a splint or cast. After that time, patients are usually placed into a walking boot and given exercises and stretches to help regain ankle strength and motion. Physical therapy is also usually initiated once weight bearing is allowed.

Learn more about foot and ankle treatment at OrthoIndy.

Schedule an Appointment Call OrthoIndy 317.802.2000
Megan Golden

By Megan Golden

Megan is the current marketing specialist for OrthoIndy. Megan graduated from Ball State University in 2012 with a bachelor’s degree in public relations and advertising and a communications studies minor and has been with OrthoIndy since then.

Related Posts

More from OrthoIndy

Knee replacement allows patient to continue dancing

Knee replacement allows patient to continue dancing

At 50 years old, dancer has both of her knees replaced and continues to perform. Knee replacement surgery often allows patient to return to an active lifestyle.


How to treat a fracture after total hip replacement

How to treat a fracture after total hip replacement

Although these fractures are rare, breaking your femur bone around the implant after a total hip replacement almost always requires surgery.


What is hip arthritis?

What is hip arthritis?

What does hip arthritis feel like? What are the symptoms and treatment options for arthritis of the hip?


Get stories and News in your inbox

Subscribe to our weekly articles