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    • Candace Criscione, DPM
    • Robert E. Gallucci, DPM, FACFAS
    • Stephen J. Rogers, DPM, FACFAS
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    • Foot & Ankle Corrective and Reconstructive Surgery
    • Ankle Joint Arthroscopy
    • Ankle Joint Replacement
    • Diabetic Foot & Ankle Medicine and Surgery
    • Pediatric Foot Care
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    • Wound Care
    • High-Risk Conservative Foot Care
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    • Stem Cell and PRP Injections
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    • Warwick, RI
    • Middletown, RI
    • Dartmouth, MA
  • HOME
  • Our Story
  • Meet the Doctors
    • Candace Criscione, DPM
    • Robert E. Gallucci, DPM, FACFAS
    • Stephen J. Rogers, DPM, FACFAS
  • Conditions We Treat
  • Our Services
    • Foot & Ankle Corrective and Reconstructive Surgery
    • Ankle Joint Arthroscopy
    • Ankle Joint Replacement
    • Diabetic Foot & Ankle Medicine and Surgery
    • Pediatric Foot Care
    • Custom Orthotics
    • Wound Care
    • High-Risk Conservative Foot Care
    • Foot & Ankle Revisions and Second Opinions
    • Stem Cell and PRP Injections
  • New Patients
  • News & Media
  • Contact & Locations
    • Warwick, RI
    • Middletown, RI
    • Dartmouth, MA

Who Best Qualifies for Ankle Replacement Surgery

July 4, 2025

A foot and ankle doctor presents a knee joint model for elderly patients when explaining ankle replacement surgery.

Ankle replacement surgery is a life-changing procedure for individuals struggling with severe ankle pain and limited mobility. It is a treatment designed to improve the quality of life for people dealing with advanced joint degeneration.

However, ankle replacement may not be for everyone. If you are considering this procedure, it is essential to understand who qualifies and the factors influencing candidacy.

Let us explore whether ankle replacement surgery could be the right solution for you.

What Is Ankle Replacement Surgery

Ankle replacement surgery, also known as total ankle arthroplasty, is a procedure designed to replace a damaged ankle joint with artificial components. The goal is to reduce pain and restore functional movement in individuals who suffer from joint degeneration or injury.

Surgeons remove the damaged surfaces of the bones in the ankle joint and replace them with a prosthesis made of metal and plastic. This prosthesis acts as a new joint, allowing smoother movement and reduced pain.

Understanding the Ideal Candidate for Ankle Replacement Surgery

Not everyone with ankle pain is a candidate for ankle replacement surgery. Doctors evaluate several factors before recommending the procedure. Below are key qualifications for potential candidates.

Severe Arthritis in the Ankle Joint

The most common condition that leads to ankle replacement surgery is severe arthritis. This includes:

  • Osteoarthritis, caused by wear and tear on the joint over time.
  • Post-traumatic arthritis, which occurs after an injury, such as a fracture or sprain.
  • Rheumatoid arthritis, an autoimmune condition resulting in joint inflammation and damage.

If you suffer from chronic pain due to arthritis and other treatments have not provided relief, ankle replacement surgery might be an option.

Limited Success With Non-Surgical Treatments

Doctors typically recommend trying non-surgical options before considering ankle replacement surgery. These options include:

  • Physical therapy
  • Cortisone injections
  • Anti-inflammatory medications (such as ibuprofen or naproxen)
  • Custom braces or orthotic devices

Ankle replacement surgery becomes a consideration when these methods fail to reduce pain or improve joint function.

Healthy Bone and Skin Tissue

Candidates for ankle replacement surgery need healthy bones around their ankles to support the prosthesis. Skin health is also important to ensure proper healing after ankle replacement surgery.

Individuals with severe deformities or weak surrounding bones may not qualify.

Moderate to Low Physical Demands

Ankle replacements are most successful in individuals who lead a moderate or low-impact lifestyle. People with jobs or hobbies involving heavy physical labor or high-impact activities may not be ideal candidates due to quicker wear and tear on the artificial joint.

Who Is Not a Good Candidate for Ankle Replacement Surgery

While ankle replacement surgery offers hope to many, not all patients are suitable candidates. Individuals with the following conditions may not benefit from the procedure:

  • Severe Deformities or Bone Loss: This can limit the surgeon’s ability to implant the artificial joint securely.
  • Active or Chronic Infection: Infection around the ankle increases postoperative risks and may disqualify patients.
  • Poor Circulation in the Lower Extremities: Compromised blood flow reduces the body’s ability to heal after ankle replacement surgery.
  • Uncontrolled Diabetes or Smoking: Both can affect wound healing and increase infection risks, leading to complications.

Discuss your medical history and lifestyle with your foot and ankle doctor to determine better options if you fall into one of these groups.

Benefits of Ankle Replacement Surgery

When performed on the right candidate, ankle replacement surgery can significantly enhance a patient’s life. Here are the main benefits:

  • Pain Relief. Chronic pain caused by damaged joints is the leading reason for seeking this procedure.
  • Improved Mobility. Patients often find it easier to walk and perform daily tasks.
  • Retained Joint Movement. Unlike an ankle fusion, which removes joint motion, replacement surgery allows natural movement.
  • Enhanced Quality of Life. Reduced pain and better mobility positively impact mental well-being.

Steps to Determine Eligibility for Ankle Replacement Surgery

If you think you might qualify for ankle replacement surgery, follow these steps:

  • Schedule a Consultation. Meet with a foot and ankle doctor to discuss symptoms and treatment history.
  • Undergo Imaging Tests. X-rays or CT scans help doctors assess joint damage and determine if your bones are strong enough.
  • Evaluate Lifestyle and Goals. An honest discussion of your activity level, work demands, and personal goals will guide the decision.
  • Explore All Options First. Ensure all non-invasive treatments have been thoroughly explored before proceeding with surgery.

Ankle Replacement Surgery in Warwick & Middleton, RI, and Dartmouth, MA

If you think you may qualify for ankle replacement surgery, there is no better time to take the first step. Speak with a healthcare provider specializing in foot and ankle conditions to evaluate your options.

At Foot & Ankle Institute of New England, we understand your unique podiatry needs and priorities. Our compassionate team of foot and ankle experts works closely with you to create tailored treatment plans. From the initial consultation to post-surgery recovery, your comfort and care are our top priorities.

Schedule your consultation today and explore whether ankle replacement surgery is the right solution for your mobility and pain relief. Call Foot & Ankle Institute of New England’s office near you or use our appointment request form. We look forward to serving you!

Filed Under: Ankle Replacement Tagged With: ankle joint, Ankle Pain, Ankle Replacement Surgery, arthritis, Cortisone injections, foot and ankle experts, orthotic devices, Physical Therapy, post-surgery recovery, total ankle arthroplasty

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We offer foot and ankle issues treatment services Foot & ankle reconstruction sugery ,Ankle Joint Arthroscopy , Ankle Joint Replacement , Diabetic Foot care, Wound Care, pediatric foot care, Custom Arthotics, Stem Cell & PRP Injections, Conservative foot care .