Ankle replacement at Nuffield Health at St Bartholomew's Hospital

The most common form of arthritis is osteoarthritis where the joints suffer gradual wear and tear. With rheumatoid arthritis, the cartilage is eventually worn away, causing the bone underneath to become damaged.

Arthritis symptoms can include stiffness, swelling and pain in your joints. When conservative procedures are no longer working for you it’s time to discuss your situation with a consultant. You may be a candidate for ankle replacement.

What happens during ankle replacement?

Ankle replacement is usually performed under general anaesthetic. During your operation your surgeon will replace the worn out or damaged surfaces of your ankle joint with components made of metal, ceramic or plastic. These components have a coating that promotes bone growth meaning the prosthesis will naturally bond with the remaining bone in your joint. Once the components are in place your surgeon will close the surgical wound with stitches or staples.

Ankle arthroscopy surgery 

Sometimes an ankle Injury may not be as severe and can be treated by key hole surgery. During an ankle arthroscopy, your surgeon will make several small incisions (cuts) in your ankle. They will insert a tiny camera through one of the incisions to examine any problems in the area.

They will insert other instruments to wash out any loose material caused by wear and tear of the joint surfaces and remove any bone spurs or swelling of the lining of your ankle joint. They may be able to make small repairs to torn cartilage through the small incisions. 

After ankle replacement surgery

When your operation is over, you’ll be taken to the recovery room where you will wake from the anaesthetic. Your wound, blood pressure and pulse will be checked carefully. Your leg may be in a cast. Be sure and let our Healthcare Team know if you are in any pain.

You may have a small tube coming out of your wound, this is to drain away any excess fluid from the inside of the wound. You may also have a drip (infusion) going into your arm. This will keep you hydrated until you are able to drink, and it can also be used to give you pain relief.

When you are stable and comfortable, a nurse will take you back to your room.

Back in your room

You may spend two to five nights in hospital. Your leg may be elevated for most of your stay. Our physiotherapists will visit you to help you get mobile and teach you how to move around with a walker or crutches. You will not be able to bear weight on your foot.

Going home after ankle replacement

You will not be allowed to drive until released by your surgeon. Please arrange for someone to drive you home from hospital and check in on you.

You will need to come back to have your stitches or staples removed. Your cast will be removed and replaced by a lighter weight cast.

You will need to continue non-weight bearing walking and standing. You may work with a physiotherapist once weight bearing is allowed. Your range of motion and mobility will steadily increase but it may take several months to recover from ankle replacement.