The West Coast Leader in Primary and Revision Ankle Replacement

Ankle replacement, also called total ankle arthroplasty, is a procedure that removes damaged parts of the ankle joint and replaces them with artificial components to reduce pain and preserve motion.

A total talus replacement is a procedure that replaces the entire talus bone with a custom-made implant 3D-printed to match the patient’s anatomy. It is used when the talus has been severely damaged due to avascular necrosis, fracture, or other conditions that make it non-viable. Unlike a standard ankle replacement, which focuses on the ankle joint surfaces, a total talus replaces the entire talus bone and is often performed alongside ankle replacement.

Most candidates have severe ankle arthritis, pain that limits daily activities, and stiffness that has not improved with nonsurgical treatment. A surgeon also considers alignment, bone quality, activity level, and overall health before recommending surgery.

Ankle replacement aims to relieve pain while maintaining some ankle motion, while ankle fusion eliminates motion at the joint to reduce pain. The best option depends on your arthritis, anatomy, and long-term goals.

Recovery usually involves a period of non-weightbearing, then gradual progression to weightbearing in a boot or cast, followed by rehabilitation to restore strength and mobility. Swelling and mild discomfort can last for several months as healing continues.

Ankle implants are designed to be durable but may eventually need revision or replacement. Longevity depends on factors such as age, implant type, activity level, alignment, and bone quality. Current literature supports estimates of 90-95% implant survival at 10 years. As implant designs and techniques continue to evolve, it is likely that these results will be sustained or improve. Current modern 4th generation implants are tracking at even higher survival rates, equivalent to knee and hip replacement implants.

As with any major surgery, risks can include infection, blood clots, wound-healing problems, nerve injury, implant loosening, and the need for additional surgery. Your surgeon can explain how those risks apply to your specific case.

Most patients regain the ability to walk with less pain, but recovery is gradual and may take several months. Many people improve enough to return to everyday activities, though higher-impact sports may remain limited

Return-to-work timing depends on your job demands and recovery progress; some people return within a few weeks, while others need more time. Your surgeon will guide you on driving, exercise, and activity restrictions based on your healing.

Every ankle surgery is unique. Make sure to ask questions about your individual plan. Be comfortable knowing that your plan may be different than others, and clarify the reasons for this.