Ankle Replacement Surgery and Complete Treatment in Bharatpur

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What is Ankle Replacement?

Total ankle replacement (also called ankle arthroplasty) is a surgical option for patients with arthritis of the ankle. This operation can relieve pain and maintain motion in the arthritic ankle joint and is an alternative to arthrodesis (ankle fusion) which can relieve pain but eliminates motion in the joint. Although it does not have the same long-term track record of hip or knee replacement, shorter-term studies on ankle replacement look very promising.


The major complaint by individuals who have arthritis is joint pain. Pain is often constant, and may be localized to the joint affected. The pain from arthritis is due to inflammation that occurs around the joint, damage to the joint from disease, daily wear and tear of joint, muscle strains caused by forceful movements against stiff painful joints and fatigue.


What causes arthritis of the ankle?

The bones of your ankle are covered by a perfectly smooth and resilient substance known as cartilage. It is cartilage that allows the ankle joint to move smoothly and painlessly. Arthritis is a disease process in which the cartilage becomes thinner and rougher. When this occurs, joint motion becomes stiff and painful.


Arthritis can occur in any joint in the human body. Arthritis is more likely to occur in joints that have been injured or damaged. Some ankle injuries are severe such as broken ankles that require surgery. Other ankle injuries are less severe, such as sprains, but may cause a problem if they occur over and over. Both of these types of injuries can result in ankle arthritis.


Risks for Ankle Replacement Surgery are:

  • Ankle weakness, stiffness, or instability.
  • Loosening of the artificial joint over time.
  • Skin not healing after surgery.
  • Nerve damage.
  • Blood vessel damage.
  • Bone break during surgery.
  • Dislocation of the artificial joint.
  • Allergic reaction to the artificial joint (extremely uncommon)


Surgical Procedure for Ankle Replacement Surgery

Before surgery you will be placed under either general anesthesia or a spinal type of anesthesia. The surgeon begins the operation by making an incision through the skin on the front of the ankle. Once through the skin, the nerves and blood vessels are protected and moved to the side. The tendons are also moved to the side. An incision is then made into the joint capsule that encloses the ankle joint. The surgeon opens the joint to prepare the surfaces to be replaced.


To fit the metal socket in place, the ends of the ankle bones are shaped. The tibia and fibula are shaped first. Next, the top of the talus is shaped so the metal talus component can be inserted. Finally, all the different pieces of the artificial ankle joint are put in place, and the ankle is tested to make sure the pieces fit properly.


To make sure that the ankle socket or the tibial component fits tightly, two screws are placed through the fibula and the tibia just above the artificial ankle joint.


Bone is grafted between the fibula and tibia to create a fusion between them. This stops any motion between the two bones that could loosen the artificial joint. The bone graft is taken from the bone that was removed from the ankle earlier during the shaping procedure.


When the surgeon feels that everything is satisfactory, the joint capsule is sewn back together, and the skin is stitched together. A large bandage and splint are placed on the lower leg to protect the new ankle joint as your leg heals.

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