An incision will be made in the front or side of the ankle. The damaged tissue and bone will be removed. The rest of the bone will be trimmed and prepared for the artificial devices. The metal and plastic devices will be put in and secured to the bone. The Achilles tendon may need to be lengthened to ease tension from the calf muscle.
The incision will be closed with stitches or staples. A bandage will be used to cover it.
How Long Will It Take?
About 2.5 hours
How Much Will It Hurt?
Anesthesia will prevent pain during surgery. Pain after surgery can be handled with medicine.
Average Hospital Stay
You will stay in the hospital for 1 to 3 days. You may need to stay longer if there are problems.
At the Hospital
The staff will give you pain medicine after surgery.
During your stay, the hospital staff will take steps to lower your risk of infection such as:
Washing their hands
Wearing gloves or masks
Keeping your incisions covered
There are also steps you can take to lower your risk of infection such as:
Washing your hands often and reminding visitors and your care team to do the same
Reminding your care team to wear gloves or masks
Not letting others touch your incisions
Take these steps when you return home:
Do not put weight on your ankle for 6 weeks.
Follow your doctor's instructions.
Call Your Doctor
Call your doctor if you are not getting better or you have:
Signs of infection, such as fever and chills
Redness, swelling, more pain, a lot of bleeding, or leaking around the incision
Problems moving your ankle
Numbness or tingling in your foot or toes
Chalky white, blue, or black color in your foot or toes
Pain that you cannot control with medicine
Lasting nausea or vomiting
Symptoms that are new or worse
If you think you have an emergency, call for emergency medical services right away.
Arthritis of the foot and ankle. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00209. Updated March 2015. Accessed June 19, 2019.
Grunfeld R, Aydogan U, et al. Ankle arthritis: review of diagnosis and operative management. Med Clin North Am. 2014 Mar;98(2):267-289.
Total ankle arthroplasty. Foot Care MD—American Orthopaedic Foot and Ankle Surgeons website. Available at: http://legacy.aofas.org/footcaremd/treatments/Pages/Total-Ankle-Arthroplasty.aspx. Accessed June 19, 2019.
Total ankle replacement surgery for arthritis. University of Washington Orthopaedics and Sports Medicine website. Available at: http://www.orthop.washington.edu/?q=patient-care/articles/ankle/total-ankle-replacement-surgery-for-arthritis.html. Accessed June 19, 2019.
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