What is total ankle replacement?

Total ankle replacement is a type of joint replacement surgery. It’s also called ankle arthroplasty. It replaces damaged parts of the ankle with prosthetics (plastic or metal parts). These new parts work together and move like your natural joint. This treatment is usually only for people with ankle pain that doesn’t go away and affects their quality of life.

What can ankle joint replacement treat?

Total ankle replacement surgery usually treats ankle arthritis. Arthritis develops from changes to the cartilage (tough tissue) covering the bones of a joint. The cartilage becomes thinner and rougher. Ankle arthritis can happen with age, from general wear and tear. It may also come from repeated ankle injuries, ankle fractures or certain health conditions.

Common symptoms of ankle arthritis include :

  • Difficulty walking.

  • Joint pain.

  • Joint swelling.

Most people find relief from ankle pain and other symptoms with basic treatments, often used together. Healthcare providers consider these treatments “conservative therapies.” They may include medications, physical therapy or orthotics (special shoe inserts or devices, like braces, to relieve pain). Sometimes, though, severe ankle arthritis requires more targeted treatment. When that happens, a healthcare provider may suggest total ankle replacement.