Ankle replacement

After the operation
The first 24 hours
Pain relief
This is by means of a regional femoral and sciatic nerve blockade supplemented by tablets or PCA .

Cast/splintage
A temporary plaster cast will be applied after the operation and changed the next day to a light weight cast or removable Thermoplastic splint.

Oxygen therapy
To reduce the chance of wound complications (breakdown /slow healing) we routinely advocate supplemental oxygen (via nasal prongs) for 24 hours.

DVT prophylaxis
Aspirin 150mgs, used for 6 weeks unless contraindicated.

Length of stay
You will require on average two days post operatively in hospital.

Physiotherapy
Within 24-48 hours you will be mobilised non weight bearing. This means using two crutches for walking .
Generally this continues for 4-6 weeks after the operation date.

At two weeks
Outpatient visit to ensure wounds have healed and a change of cast .

At six weeks
Weight bearing out of cast commenced, with physiotherapy, following a check x-ray and outpatient visit.

At three months
Return to driving.

Long term annual follow up required.
Can be done locally and x-rays emailed.

COMPLICATIONS
1% Deep infection (of the joint)
1% Wound infection
5% Delayed wound healing/breakdown
1% DVT/PE
3%-5% Pain and stiffness despite replacement.
10% Malleolar(ankle) fracture
Failure of implant (85% 10 year survivorship approximately)