According to Mass General, the average ankle replacement lasts around 10 years for 90% of patients. But who is not a good candidate for ankle replacement?

While ankle replacement can help many people, it isn’t suitable for everyone.

Today we’re taking a closer look into the factors that may exclude someone from ankle replacement surgery, common ankle surgery risks, and alternative treatments to consider.

Who Is Not a Good Candidate For Ankle Replacement?

There are several factors that may exclude someone from being a good candidate for ankle replacement surgery. This procedure isn’t right for everyone, and understanding the main exclusions can help people make more informed choices.

Younger individuals who are very active may not be ideal candidates for ankle replacement. The implants used in surgery have a limited lifespan. Younger patients are likely to put more strain on the replacement, which can lead to quicker wear and tear.

Some health conditions can also make ankle replacement a poor choice. Severe osteoporosis can weaken the bones, making it difficult for the implant to stay in place. Poor blood circulation and high infection risks can also create complications during recovery, leading doctors to recommend against the surgery.

Obesity can significantly impact recovery and the long-term success of an ankle replacement. The extra weight puts more pressure on the new joint, increasing the risk of complications or implant failure.

Ankle Replacement Alternatives

For those who aren’t good candidates for ankle replacement, there are non-surgical alternatives that can help manage pain and improve mobility.

Physical therapy can help improve ankle strength and flexibility. Regular exercises can make the joint more stable, helping to reduce pain over time.

Braces or custom orthotics provide support to the ankle and can help limit movement that causes pain. The devices are often recommended for those with mild to moderate ankle problems.

Over-the-counter pain relievers or prescribed anti-inflammatory drugs can be used to control pain and reduce swelling. These medications are especially helpful for people with arthritis in the ankle, offering relief without the need for surgery.

Risks of Ankle Surgery for Ineligible Candidates

Ankle replacement surgery can carry serious risks, especially for those who aren’t ideal candidates. The chances of complications are much higher in people with certain conditions or factors that make recovery difficult. Some of these risks include infections, implant failure, and poor wound healing.

Infection is a major concern after surgery. For individuals with poor circulation or a weakened immune system, the risk of infection is significantly increased.

Another common issue is the loosening or failure of the implant. It can lead to more pain and sometimes the need for additional surgery. Lastly, people with underlying health issues may experience slower recovery times, putting their overall health at risk.

Eligibility For Ankle Surgery

When considering ankle replacement surgery, it’s important to understand who is not a good candidate for ankle replacement. Factors like age, pre-existing conditions, and obesity can affect eligibility.

At Flint Foot and Ankle Institute, our mission is to provide the best possible care for a foot and ankle ailments of all kinds. Dr. Flint is dedicated to helping his patients live their best lives, whether through surgery or therapeutic treatments.

Get in touch with us today to find out how we can help your foot issues.

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