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Ankle Replacement in India

Total ankle arthroplasty to replace damaged ankle joint with artificial implant

Overview

Ankle Replacement, also known as Total Ankle Arthroplasty (TAA), is an advanced surgical procedure that replaces a severely damaged or arthritic ankle joint with an artificial implant. This procedure is designed for patients who have end-stage ankle arthritis that has not responded to conservative treatments such as medications, bracing, or injections. At Arthroscenter, Dr. Gurudeo Kumar offers comprehensive ankle replacement services using the latest generation prosthetics designed to mimic natural ankle movement. With over 150 successful ankle replacement procedures performed, our center employs minimally invasive techniques and patient-specific instrumentation to optimize outcomes and preserve bone stock. The procedure involves removing damaged bone and cartilage from the tibia and talus bones, then placing specially designed metal and polyethylene components to restore smooth joint motion. Unlike ankle fusion, ankle replacement maintains joint mobility while significantly reducing pain and improving function. Most patients experience substantial pain relief and return to walking and daily activities within 3-4 months.

Symptoms & Indications

This surgery may be recommended if you experience:

Severe ankle pain that limits daily activities and walking

Pain that persists despite medications and conservative treatments

Significant stiffness and reduced range of motion in ankle

Swelling and inflammation in the ankle joint

Difficulty bearing weight on the affected ankle

Ankle deformity or visible joint changes

Inability to participate in sports or recreational activities

End-stage ankle arthritis confirmed on imaging studies

Failed previous ankle surgeries or conservative treatments

Chronic instability affecting quality of life

Procedure Details

Duration

The procedure typically takes 2-3 hours depending on complexity, bone quality, and whether additional procedures are needed.

Anesthesia

General anesthesia or spinal anesthesia with sedation is used to ensure patient comfort throughout the procedure.

Preparation for Surgery

Comprehensive pre-operative evaluation includes detailed physical examination, weight-bearing X-rays, CT scans to assess bone quality and deformity. Blood tests and medical clearance ensure patient safety. Pre-operative instructions include fasting 8 hours before surgery, stopping blood thinners as directed, and arranging post-operative care assistance.

Surgical Steps

Administration of general or spinal anesthesia for complete pain control

Anterior ankle incision to access the ankle joint

Careful removal of damaged cartilage and bone from tibia and talus

Precise bone preparation using specialized cutting guides

Trial fitting of components to ensure proper alignment and sizing

Implantation of tibial and talar metal components

Insertion of polyethylene bearing surface between metal components

Verification of ankle range of motion and stability

Wound closure and application of surgical dressing and splint

Recovery Timeline

What to expect during your recovery journey

Week 1-2

Hospital Stay & Initial Recovery

Hospital stay of 2-3 days. Complete non-weight bearing with splint immobilization. Pain management and wound care.

Week 3-6

Protected Mobilization

Transition to walking boot. Begin gentle ankle exercises. Continue non-weight bearing or touch-weight bearing only.

Week 7-10

Progressive Weight Bearing

Gradual increase in weight bearing as tolerated. Physical therapy begins. Work on ankle range of motion.

Week 11-14

Strengthening Phase

Progressive strengthening exercises. May begin walking without boot under supervision.

Week 15-20

Advanced Rehabilitation

Continued strengthening and balance training. Return to most daily activities.

Month 6-12

Full Recovery

Complete return to activities. Continued exercise program. Regular follow-up appointments.

Tips for Faster Recovery

Strictly follow weight-bearing restrictions to allow proper implant integration

Keep ankle elevated above heart level for first 2 weeks to reduce swelling

Apply ice regularly to manage swelling and discomfort

Perform prescribed ankle exercises daily to prevent stiffness

Attend all physical therapy sessions for optimal recovery

Wear supportive footwear with good cushioning once walking is permitted

Avoid high-impact activities like running or jumping permanently

Monitor incision site daily for signs of infection

Take medications as prescribed for pain and infection prevention

Maintain healthy body weight to reduce stress on the ankle implant

Frequently Asked Questions

Common questions about this procedure

Q1.How long does an ankle replacement last?

Modern ankle replacements can last 10-15 years or longer with proper care and activity modification. Newer designs and improved materials are showing promising long-term results comparable to hip and knee replacements.

Q2.What is the success rate of ankle replacement surgery?

Success rates for ankle replacement are approximately 85-90% at 10 years. At Arthoscenter, Dr. Kumar has achieved excellent outcomes with proper patient selection and advanced surgical techniques.

Q3.Am I a candidate for ankle replacement?

Ideal candidates have end-stage ankle arthritis, failed conservative treatments, adequate bone quality, and realistic expectations. Age, activity level, and overall health are also considered during evaluation.

Q4.How does ankle replacement compare to ankle fusion?

Ankle replacement preserves joint motion, potentially reducing stress on adjacent joints. Fusion eliminates ankle motion but may be more durable. Your surgeon will recommend the best option based on your specific condition.

Q5.Can I return to sports after ankle replacement?

Low-impact activities like walking, swimming, cycling, and golf are generally safe. High-impact sports like running, jumping, and contact sports should be avoided to preserve implant longevity.

Q6.What are the risks of ankle replacement surgery?

Risks include infection, nerve damage, blood clots, implant loosening, wound healing problems, and continued pain. With proper technique and post-operative care, complication rates are relatively low.

Q7.Will I need revision surgery in the future?

Some patients may require revision surgery due to implant wear, loosening, or infection. However, with modern implants and proper activity modification, many ankle replacements last 15+ years.

Q8.How painful is recovery from ankle replacement?

Post-operative pain is managed with medications and typically decreases significantly after the first 2 weeks. Most patients report substantial pain reduction compared to pre-surgery arthritis pain within 3 months.

Q9.How much does ankle replacement cost at Arthoscenter?

Cost varies based on implant type, hospital stay, and additional procedures. Contact Arthoscenter for detailed pricing. Insurance coverage may be available for medically necessary procedures.

Q10.What happens if ankle replacement fails?

Failed ankle replacements can often be revised with new components or converted to ankle fusion if necessary. Early detection of problems through regular follow-up improves outcomes.

Considering This Surgery?

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