What are the advantages and disadvantages of total ankle replacement in comparison to ankle fusion?
Ankle fusion has been a solution for severe arthritis of the ankle for many years. This operation provides reliable long term relief of pain and can also be used to correct deformity related to arthritis. Although ankle fusion results in loss of motion at the ankle joint, most people walk normally without a significant limp. This loss of motion at the ankle, however, can potentially cause arthritis in other joints in the foot over years of time. The primary advantage of ankle replacement is the hope that preserving some motion at the ankle joint will provide more normal function and protect the other joints around the ankle from becoming arthritic. An ankle replacement does not restore normal motion, but it may allow just enough motion to protect the other joints of the foot. The disadvantage of ankle replacement is that the parts may wear out, loosen or break with use. It is possible that you will require additional surgery on your ankle depending on your age when the ankle is replace