Ankle replacement surgery

Ankle replacement surgery replaces damaged joint surfaces with an artificial joint to reduce pain while preserving movement in the ankle.

Ankle replacement surgery overview

Ankle replacement, also called ankle arthroplasty, may be recommended when severe arthritis causes ongoing pain and stiffness that has not improved with non-surgical treatment. During surgery, the damaged surfaces at the ends of the shin bone and ankle bone are replaced with metal components. A strong plastic insert between them allows the new joint to move smoothly. Your specialist will discuss whether ankle replacement or ankle fusion is more suitable for your health, ankle and lifestyle.

How is surgery carried out?

The operation is usually carried out under a general anaesthetic, often with an additional injection to help manage pain. Your surgeon removes the damaged joint surfaces and positions the replacement components carefully in the ankle.

You will usually stay in hospital for one or two nights. Your ankle will be protected in a cast or boot and a physiotherapist will show you how to use crutches safely.

 

Are there any risks?

Possible risks include:

  • Infection or problems with wound healing
  • Damage to nearby nerves or blood vessels
  • A blood clot in the leg (deep vein thrombosis or DVT)
  • Fracture of a bone around the replacement
  • Stiffness, ongoing pain or reduced movement
  • The replacement becoming loose, wearing out or moving
  • The need for further surgery in the future

Your specialist will discuss the benefits and risks with you before surgery.

 

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Ankle replacement surgery overview

Recovery from ankle replacement surgery

0–2 weeks

Protecting the new joint

Your ankle will be protected in a cast. Keep your foot raised as much as possible and follow your specialist’s advice about weight-bearing.

2–6 weeks

Beginning movement

Your wound will be checked and you may move into a boot. You may begin gentle ankle exercises and gradually increase activity as advised.

3–12 months

Improving strength and walking

Walking and everyday function will improve over time. Physiotherapy will help you build strength and movement, with progress continuing for up to a year.

Working with foot and ankle professionals and teams

Our foot and ankle specialists support professional athletes, sports teams, active individuals and people whose work places high demands on their feet and ankles. Working closely with radiologists, physiotherapists and the wider multidisciplinary team, they provide coordinated care from diagnosis through to rehabilitation, helping each person return safely to sport, work or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or recovery goals.

 

Working with foot and ankle professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

Ankle replacement surgery FAQs

You must be out of your cast or boot and able to control the vehicle safely, including performing an emergency stop. Ask your specialist when you can drive and check with your insurer first.

 

Desk-based work may be possible after four to six weeks if you can keep your foot raised and travel safely. If your work is physically demanding, you may need around three months or longer.

 

Low-impact activities such as walking, cycling, swimming and golf are generally more suitable after ankle replacement. High-impact sports involving running or jumping may not be recommended because they can place additional strain on the joint.

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