This design potentially gives the ankle a better cartilaginous loading profile. The most common cause of end-stage arthritis of the ankle is trauma. Additional causative factors include arthropathies, chronic ankle instability, malalignment, sepsis and hemophilia.
Total Ankle Replacement Surgery
Post Operative Instructions
- The surgical incision has been closed with sutures
- Do not get the dressing or wound wet for the first two weeks.
- When showering place a bag over the dressing and secure with tape to your leg to avoid the cast and wound getting wet
- Stitches will be removed at your 2 week appointment
- After the stitches are removed, you may begin to shower after 2-3 days
- Do not immerse the foot in water (bath, hot tub, pool) for 6 weeks
- Do not apply any lotions or creams on the wound for 6 weeks
- You will be non weight bearing for the first 2 weeks while in a splint .
- You will use a mobility device to offload your foot (crutches, walker, stirrup cast)
- You wiill begin weight bearing at 4-6 weeks post op depending on wound healing
- Pain medication should be used regularly for the first 24-48 hours, when required for the first 1 to 2 weeks, followed by Regular Tylenol
- For right foot surgery you are not permitted to drive until you have completely weaned off the boot
- For left foot surgery, please contact your insurance company to see if you are permitted to drive
- Driving is not permitted while on narcotics
- Four weeks off work is recommended for initial recovery
- If you are able to get to work safely, and will be seated for the majority of the day, you may return to work four to six weeks after surgery. This is assuming you are not taking narcotic pain mediation.
- From 2-6 weeks sedentary duties is recommended
- By 12 weeks you can gradually return to full duties
- If your job is physically demanding, return to full duties is usually possible around 12-16 weeks post operatively
- You will have your first appointment 2 weeks after surgery in the Fracture Clinic
- Your next appointments will be at 6 weeks, 3 months then 6 months post operatively
- You will have x-rays taken at these appointments
- It is normal to experience mild to moderate pain, numbness, or tingling for the first 2 weeks following surgery
- Please come to the emergency department if you are suffering from severe pain
- You will get back to most of your activities by 6-12 months
- Swelling often remains for 6-12 months
- Residual stiffness is a normal consequence of ankle fracture