Ankle Fusion vs. Replacement: Which Is Right for You?

April 15, 2025

Orthopedics
Rear view shot of the highlighting the ankle joints in a runner's foot
When dealing with severe ankle arthritis or joint damage, two primary surgical options exist: ankle fusion and ankle replacement. Understanding the differences, benefits and risks of each can help you make an informed decision about which procedure is best for your lifestyle and long-term mobility.

Understanding Ankle Fusion and Ankle Replacement

Ankle Fusion (Arthrodesis)

Ankle fusion is a procedure that permanently joins the bones of the ankle joint to eliminate movement and reduce pain.

Pros:

  • High success rate for pain relief
  • Durable and long-lasting, particularly for active individuals
  • Less risk of needing a revision surgery

Cons:

  • Loss of ankle mobility
  • Potential stress on adjacent joints, leading to arthritis over time
  • May limit certain activities, such as running or high-impact sports

Ankle Replacement (Total Ankle Arthroplasty)

Ankle replacement involves removing damaged joint surfaces and replacing them with an artificial joint, allowing for continued movement.

Pros:

  • Preserves ankle motion for a more natural walking gait
  • Reduces stress on surrounding joints
  • Improves quality of life and mobility

Cons:

  • Higher risk of implant wear or loosening over time
  • Not recommended for patients with severe deformities or highly active lifestyles
  • Possible need for revision surgery in the future

Which Option Is Right for You?

The choice between ankle fusion and ankle replacement depends on various factors, including:

  • Age & Activity Level – Younger, more active individuals may benefit more from ankle fusion, while older adults seeking mobility preservation may prefer replacement.
  • Severity of Arthritis – Advanced arthritis may favor fusion for stability, while moderate cases might respond well to replacement.
  • Overall Health & Bone Quality – Conditions like osteoporosis or diabetes can impact the success of either procedure.
  • Lifestyle Goals – If maintaining ankle motion is a priority, replacement may be the better option.
  • Previous Ankle Surgeries – A history of surgeries can influence the success of ankle replacement.

Consult with a Specialist

Choosing between ankle fusion and ankle replacement requires a thorough evaluation by an orthopedic specialist. Discussing your medical history, lifestyle and goals with a surgeon will help determine the best approach for you.

Both ankle fusion and ankle replacement offer effective solutions for severe ankle pain and arthritis. Understanding the trade-offs of each procedure will empower you to make the best decision for your long-term mobility and comfort.

Call 757-534-9988 to schedule an appointment or schedule your appointment online.

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