The surface of a healthy ankle joint is lined with cartilage which acts like a cushion and smooth surface allowing easy, frictionless movement. Degeneration of cartilage in the ankle leads to arthritis and means there is no layer to act as a shock absorber or reduce friction causing pain and difficulty moving. Infection, bone fracture, trauma, connective tissue disorders, excessive stress and certain conditions such rheumatoid arthritis are other causes of ankle arthritis. When initial treatment options are ineffective, total ankle replacement is an effective way to control pain and regain function.

After Your Operation

Pain Management

Post operation the foot is elevated to reduce swelling and local anaesthetic will provide pain relief and make the foot and toes temporarily numb. During your inpatient stay you will be given pain relief and either medication or prescriptions to go home to keep pain within comfort. Usually patients will initially require regular pain relief consisting of paracetamol and anti-inflammatories if indicated. Stronger medications may be given and helpful in early stages however are phased out as comfort levels increase.

Mobility

Following your operation you are required to wear a cast or boot and walk with crutches or a knee roller, ensuring not to bear weight on your injured leg for 6 weeks. It is also important to keep the cast and dressings dry. You are encouraged to manage swelling and discomfort by taking the prescribed pain medication as needed, regularly elevating your leg and applying ice. From week 6 to 12 the cast is removed and replaced with a walking boot and some weight bearing is started whilst continuing to mobilise with crutches. Physiotherapy commences from week six where it is important to follow the rehabilitation program you are given to ensure optimal recovery.

Return to Work and Sport

Return to work will vary on the nature of your work and what was done at surgery. In general, you should plan to have at least two weeks off work to allow your wound adequate time to heal and elevate your leg. You may be able to return to light duties after two weeks, but if you are on your feet at work, it may take 6 to 12 weeks. If you are very physically active in your job, it may take up to 3 to 6 months. Dr du Sart will discuss this with you at your post-op check.

Returning to sport such as jogging may take 3 to 6 months however this is dependent on the type and level of activity. Full recovery is expected in 6 to 12 months.

Driving

Times to return to driving will vary. If you have an automatic car and your left ankle was operated on, your return to driving may be faster. However, in general, plan to avoid driving for two weeks after surgery. However if your right ankle has been operated on it is recommended to return to driving after 12 weeks. If you have concerns, you can discuss this with Dr du Sart.