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Ankle arthrodesis

3-minute read

This page will give you information about ankle arthrodesis. If you have any questions, you should ask your GP or other relevant health professional.

You can also download and print a PDF version of this factsheet, with space for your own questions or notes.

What is arthritis?

Arthritis is a group of conditions that cause damage to one or more joints.

The most common type of arthritis is osteoarthritis, where there is gradual wear and tear of a joint. For a few people this is a result of a previous injury. Some other types of arthritis are associated with inflammation of the joints.

Arthritis eventually wears away the normal cartilage covering the surface of the joint and the bone underneath becomes damaged. This causes pain and stiffness in the joint.

What are the benefits of surgery?

You should get less pain and be able to walk more easily.

Are there any alternatives to ankle arthrodesis?

Illustration of an arthritic ankle.
An arthritic ankle.

Simple painkillers such as paracetamol and anti-inflammatory painkillers such as ibuprofen can help control the pain of arthritis. Supplements to your diet may also help relieve your symptoms. Check with your doctor before you take supplements.

Using a walking stick can make walking easier. A plastic splint or a stiff ankle boot with a cushioned heel is sometimes helpful.

A steroid injection into your ankle joint can sometimes reduce pain and stiffness for several months.

An arthroscopy (keyhole surgery) to clean out your ankle joint can give some relief for 6 to 12 months.

All these measures become less effective if your arthritis gets worse.

Some people with ankle arthritis can have an ankle replacement.

What does the operation involve?

Various anaesthetic techniques are possible. The operation usually takes an hour to 90 minutes.

Your surgeon will remove the damaged joint surfaces. They will fix the bones together with a metal plate, a metal rod, or screws.

What complications can happen?

General complications

  • pain
  • bleeding
  • infection of the surgical site (wound)
  • unsightly scarring
  • blood clots
  • difficulty passing urine

Specific complications

  • damage to nerves
  • breakdown of the skin over your ankle
  • infection in your ankle
  • failure of the arthrodesis
  • severe pain, stiffness and loss of use of your foot and ankle (complex regional pain syndrome)

How soon will I recover?

You should be able to go home after 1 to 3 days. To start with, spend most of the time with your leg raised on a chair or footstool.

Most people need to have the plaster cast for about 12 weeks. You will need to use crutches or sticks until it is removed.

Once the plaster cast is removed, regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

Most people make a good recovery, have less pain, and can move about better.

Summary

If you have severe arthritis in your ankle, an ankle arthrodesis should reduce your pain and allow you to do more of your normal activities.

IMPORTANT INFORMATION
The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

For more on how this information was prepared, click here.

Last reviewed: September 2018

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