Total Ankle Replacement

Total ankle replacement, also known as ankle arthroplasty, is a surgical procedure where a damaged ankle joint is replaced with a prosthetic implant. The goal is to preserve motion in the ankle while reducing pain caused by arthritis or other degenerative conditions.

When Is It Recommended?
Ankle replacement is typically recommended for patients who:

• Have advanced ankle arthritis (osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis)
• Experience chronic ankle pain and stiffness that limits daily activities
• Have tried non-surgical treatments without relief
• Are non-smokers in relatively good health with a healthy weight and stable bones

Symptoms That May Lead to Surgery

• Persistent ankle pain
• Swelling and stiffness in the joint
• Difficulty walking or standing for long periods
• Limited range of motion
• Pain that interferes with sleep or daily life

What to Expect During Surgery
During a total ankle replacement:

1. The surgeon removes the damaged portions of the tibia and talus (the bones that form the ankle joint)
2. These are replaced with metal and plastic components that mimic the natural motion of the ankle
3. The new joint is aligned to restore stability and allow for smooth movement

The procedure typically takes a few hours and is performed under general anesthesia.

Recovery and Rehabilitation
Recovery can vary but generally follows this timeline:

• Weeks 1–2: Rest, elevation, and non-weight bearing in a splint or cast
• Weeks 3–6: Transition to a walking boot and begin physical therapy
• Weeks 6–12: Gradual return to weight-bearing and everyday activity
• 3–6 months: Continued improvement in range of motion and strength

Physical therapy is essential for a successful outcome, helping you rebuild balance, mobility, and confidence.

Benefits of Total Ankle Replacement

• Significant pain relief
• Preservation of joint motion (compared to ankle fusion)
• Improved walking ability
• Better quality of life and return to normal activities

Most patients report dramatic improvements in both function and comfort after surgery.

Our foot and ankle surgeon, Dr. Joe Galles, is skilled in the latest total ankle replacement techniques and work closely with our physical therapy team to ensure a smooth recovery.