Joint Replacement Surgery

It may be discussed for selected patients with advanced ankle arthritis whose symptoms limit activity despite a reasonable course of nonsurgical care.

It is not the expected outcome of an arthritis evaluation, and most arthritis care is nonsurgical.

No one can be described as a candidate without clinical and imaging evaluation. Patient selection depends on factors including:

• Diagnosis
• Alignment of the joint and limb
• Bone quality
• Circulation
• Neurologic status
• Infection risk
• Activity expectations

Any discussion of surgery starts with confirming the diagnosis, reviewing imaging, and comparing the reasonable alternatives — including continuing nonsurgical care.

Replacement is not superior to fusion for every patient, and no implant can be described as lasting a guaranteed period of time.

Risks associated with total ankle replacement include:

• Wound complications
• Infection
• Implant loosening
• Implant wear or failure
• Fracture
• Nerve or blood-vessel injury
• Possible revision surgery

Alternatives include continued nonsurgical management of arthritis and ankle fusion. The comparison depends on your diagnosis, alignment, and goals.

Is everyone with ankle arthritis a candidate?

No. Candidacy depends on diagnosis, alignment, bone quality, circulation, neurologic status, infection risk, and activity expectations, and it requires clinical and imaging evaluation.

Is replacement better than fusion?

Neither is better for every patient. Replacement is intended to preserve more ankle motion, but the right choice is individual.

How long does an implant last?

No guaranteed lifespan can be stated. Implant wear, loosening, and the possibility of revision surgery are part of the discussion.

To ask whether joint replacement surgery fits your situation, request an appointment or call 480-831-0700. New to the practice? Start with new-patient information.