A member asked:

I shattered my ankle and had to have it fused. is ankle replacement the next step?

12 doctors weighed in across 4 answers
Dr. Christopher Hendrix answered

Specializes in Podiatry

Shattered Ankle: Youve had a devastating injury requiring a fusion surgery..... I would exhaust all means to avoid further surgeries at this point and allow yourself to heal and regain strength and function it will also give you time to research the various implants available and the surgeons that would perform an ankle replacement on a fused ankle.. Bracing is certainly an option.

Answered 9/25/2017

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Not necessarily: In most cases ankle fusion would occur after failure of an ankle implant. But in your description I am not sure that the total ankle was fused, due to the injury. If there is still some ankle motion and it is painful, then replacement would be the next step.

Answered 7/9/2012

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Dr. Ellen Wenzel answered

Specializes in Podiatry

Ankle Fusion Takedow: There are times when a fusion can be considered for what is called a take down procedure with consideration of ankle replacement. This procedure is very complicated, may require staging and patient selection is very rigorous. This is more often done in the face of a failed fusion in a patient that is an appropriate candidate for an ankle replacement.

Answered 4/12/2014

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Dr. Steven Sheskier answered

Specializes in Orthopedic Foot and Ankle Surgery

It is possible: If one's ankle is already fused conversion to an ankle replacement is possible. It depends on the method of fusion. Some fusions remove part of the ankle structures that are necessary for an ankle replacement. Also depends of the staus of the soft tissue particular the tendons and how much scar tissue is present.Ankle.

Answered 5/6/2019

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