Question 1

What is ankle arthritis?

Accepted Answer

Ankle arthritis (osteoarthritis) occurs when the smooth cartilage in your ankle joint wears away, causing bone-on-bone contact. Unlike hip and knee arthritis which are usually age-related, ankle arthritis is most commonly caused by previous injury - particularly ankle fractures (70-80% of cases). It causes pain, stiffness, and difficulty walking.

Question 2

Is ankle fusion or ankle replacement better?

Accepted Answer

Both have pros and cons. Ankle fusion is the gold standard with more predictable results and better long-term durability - 85-90% excellent pain relief that lasts a lifetime. However, you lose ankle motion and walk with slight limp. Ankle replacement preserves motion and gives more natural walking but has higher complication rates and implants may need revision. Your surgeon will recommend the best option based on your age, activity level, bone quality, and ankle alignment.

Question 3

Will I walk normally after ankle fusion?

Accepted Answer

Most people walk well after ankle fusion, though with a slight limp and reduced push-off power. The nearby joints (subtalar joint under the ankle) compensate somewhat for lost ankle motion. You can do most activities including walking on uneven ground, but activities requiring significant ankle motion (like ballet or gymnastics) are difficult. 85-90% of people are very satisfied with their pain relief and function after fusion.

Question 4

Can ankle arthritis be cured without surgery?

Accepted Answer

Arthritis can't be reversed, but many people manage successfully without surgery. Ankle bracing, appropriate footwear, weight loss, and activity modification can control symptoms well. About 30-40% of people with ankle arthritis avoid surgery long-term. Surgery is only needed when non-surgical treatments fail and pain significantly affects your life.

Question 5

How long does an ankle replacement last?

Accepted Answer

Modern ankle replacements have improved significantly. Current data shows about 80-85% still functioning at 10 years. This is lower than hip and knee replacements (95% at 15 years) but improving. Younger, more active patients may need revision surgery eventually. Ankle fusion, by contrast, typically lasts a lifetime once the bones heal together.

Medical Disclaimer

Ankle Arthritis

📖What is Ankle Arthritis?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention