For patients with end-stage ankle arthritis, total ankle replacement (arthroplasty) offers the possibility of preserved motion and improved function. Dr. Hanson helps patients understand all their options, including when replacement is preferable to fusion and what realistic outcomes look like for each.
End-stage ankle arthritis causes severe joint damage, bone-on-bone contact, and pain that significantly limits walking and quality of life. For many years, ankle fusion (arthrodesis) was the primary surgical option. Total ankle replacement has evolved substantially and now represents a reliable alternative for appropriate candidates, offering the potential to preserve motion and reduce stress on adjacent joints.
The decision between ankle replacement and ankle fusion is not one-size-fits-all. Age, activity level, bone quality, alignment, and the condition of surrounding joints all factor into which procedure is likely to give you the best long-term outcome. Dr. Hanson will guide you through this decision with a thorough evaluation and honest assessment of the tradeoffs.
Both total ankle replacement and ankle fusion can provide significant pain relief. The key differences relate to motion and long-term joint health.
The right answer depends on your specific anatomy, arthritis pattern, activity expectations, and overall health. Dr. Hanson will take the time to help you understand which option aligns with your goals and gives you the best chance of a durable result.
Surgery for ankle arthritis is considered only after non-surgical options have been thoroughly explored. These include anti-inflammatory medications, bracing and orthotics, corticosteroid or hyaluronic acid injections, physical therapy, and activity modification. These measures can meaningfully extend comfort and function for many patients.
Ankle replacement and fusion are both major decisions. If you have been told you need one or the other and want an independent expert evaluation, Dr. Hanson welcomes second opinion consultations. He will review your imaging, examine you, and give you his honest assessment, with no obligation to proceed with surgery at this practice.
Dr. Hanson will take time to understand your specific situation, review any prior imaging or records, and give you an honest assessment of all your options including non-surgical approaches.