What is total ankle replacement?
Ankle replacement (total ankle arthroplasty) is major surgery to reduce ankle pain. A surgeon removes the lower part of the shin bone (tibia) and top of the highest bone on the foot (talus). The ankle is replaced with plastic or metal pieces. Sometimes part of only one bone is replaced.
You may have general anesthesia. This means you'll be asleep during the surgery. But sometimes doctors use regional anesthesia. This means you can't feel the area of the surgery. You will feel sleepy, but you'll be awake. Which type of anesthesia you get depends on your doctor and on your overall health. Your doctor might also ask what you prefer. Your doctor will also let you know if you will stay in the hospital or if you can go home the day of surgery.
Then the doctor makes a cut (incision) in your leg, where the ankle is. The doctor will remove some of the bones of your ankle and replace them with an artificial joint. The incision leaves a scar that usually fades with time.
Your doctor will also let you know if you will stay in the hospital or if you can go home the day of surgery. Your rehabilitation program (rehab) may start when you are in the hospital. You will do this rehab for several weeks.
It takes at least 4 months to return to full activity. But if you can keep your weight off the leg, you may be able to go back to work sooner.
After surgery and rehab, you probably will have much less pain than before. And you should be able to return to your usual activities. But your doctor may advise you not to do activities that put stress on that ankle, such as standing for too long or running.
How do you prepare for surgery?
Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.
Preparing for surgery
- You may need to shower or bathe with a special soap the night before and the morning of your surgery. The soap contains chlorhexidine. It reduces the amount of bacteria on your skin that could cause an infection after surgery.
- Be sure you have someone to take you home. Anesthesia and pain medicine will make it unsafe for you to drive or get home on your own.
- Understand exactly what surgery is planned, along with the risks, benefits, and other options.
- Tell your doctor ALL the medicines and natural health products you take. Some may increase the risk of problems during your surgery. Your doctor will tell you if you should stop taking any of them before the surgery and how soon to do it.
- If you take a medicine that prevents blood clots, your doctor may tell you to stop taking it before your surgery. Or your doctor may tell you to keep taking it. (These medicines include aspirin and other blood thinners.) Make sure that you understand exactly what your doctor wants you to do.
- Make sure your doctor and the hospital have a copy of your advance care plan. If you don't have one, you may want to prepare one. It lets others know your health care wishes. It's a good thing to have before any type of surgery or procedure.
Where can you learn more?
Go to https://www.healthwise.net/patientEd
Enter A126 in the search box to learn more about "Total Ankle Replacement: Before Your Surgery".