The Foot and Ankle Clinic

Ankle replacement

What is an ankle replacement? | How does an ankle replacement work? | How are the components fixed to bone? | When and for whom? | Are there any other benefits except loss of pain? | Why aged fifty, why not younger? | Alternatives to ankle replacement | How do I decide between an ankle replacement and an ankle fusion? | Contraindications to ankle replacement | The operation | Operative stills - Mobility| Operative stills - STAR| Operative footage | Post-operative movement and gait | After the ankle replacement operation | Complications

 

How do I decide between an ankle replacement or ankle fusion?
The following are also the factors which your Surgeon will consider when giving his recommendation to you.

PAIN RELIEF :

MOVEMENT:

LONGEVITY :

subtalar(1) and talo-navicular (2) osteoarthritis twenty years after a successful ankle fusion.
Subtalar(1) and Talo-navicular (2) osteoarthritis twenty years after a successful ankle fusion.

DEFORMITY :

varus arthritic ankle - back view

varus arthritic ankle - front view

The varus arthritic ankle, beyond safe replacement.


With a fusion there is no limit to the degree of deformity that can be corrected, though
special techniques, one example of which is an Ilizarov frame, will be needed for very large deformities

gross valgus ankle

The gross valgus ankle

gross valgus ankle corrected and fused with ilizarov frame

The same ankle corrected and fused with Ilizarov frame.

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