19 doctors weighed in:

If I am 22 active female should I get an ankle fusion or replacement? My dr. Said fusion. Do u agree?

19 doctors weighed in
Dr. John Shim
Orthopedic Surgery
4 doctors agree

In brief: Why do you need it?

At 22, you must have either a significant prior trauma to the ankle, or a severe rheumatologic condition.
Either option is pretty extreme. As far as which has a better track record, fusions do have more durability, especially for active patients. If you think replacement, make sure you get an opinion by a surgeon that specializes in the operation. There are very few of them.

In brief: Why do you need it?

At 22, you must have either a significant prior trauma to the ankle, or a severe rheumatologic condition.
Either option is pretty extreme. As far as which has a better track record, fusions do have more durability, especially for active patients. If you think replacement, make sure you get an opinion by a surgeon that specializes in the operation. There are very few of them.
Dr. John Shim
Dr. John Shim
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Dr. Ellen Wenzel
Podiatry
3 doctors agree

In brief: Ankle Replacement

Ankle replacement remains a procedure that is relies on strict patient selection criteria.
Patients that are young and active are not typically appropriate for the procedure as the implant is likely to fail in your lifetime and another procedure required. Therefore, in these patient populations, fusion remains the gold standard.

In brief: Ankle Replacement

Ankle replacement remains a procedure that is relies on strict patient selection criteria.
Patients that are young and active are not typically appropriate for the procedure as the implant is likely to fail in your lifetime and another procedure required. Therefore, in these patient populations, fusion remains the gold standard.
Dr. Ellen Wenzel
Dr. Ellen Wenzel
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Dr. Daniel Farber
Orthopedic Surgery - Foot & Ankle
3 doctors agree

In brief: Fusion

At your age an ankle replacement will likely fail way too early in your life.
A fusion will give you excellent pain relief and function. You will develop arthritis in the joints around the ankle but that's a much lesser price than a failed joint replacement. Have your fusion done arthroscopically if possible and preserve the fibula bone. Less pain and faster healing.

In brief: Fusion

At your age an ankle replacement will likely fail way too early in your life.
A fusion will give you excellent pain relief and function. You will develop arthritis in the joints around the ankle but that's a much lesser price than a failed joint replacement. Have your fusion done arthroscopically if possible and preserve the fibula bone. Less pain and faster healing.
Dr. Daniel Farber
Dr. Daniel Farber
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Dr. Steven Sheskier
Orthopedic Surgery - Foot & Ankle
2 doctors agree

In brief: Orthopedic surgeon

Recurrent sprains of the ankle, especially in situations that usually would not result in a sprain, are suspicious for a serious problem needing attention.
Sometimes physical therapy is all that is necessary sometimes arthroscopy or arthroscopy surgery to tighten the ligaments. Orthopedic docs are well trained to diagnose and treat this. In some states the podiatric practice law allows them to treat as well.

In brief: Orthopedic surgeon

Recurrent sprains of the ankle, especially in situations that usually would not result in a sprain, are suspicious for a serious problem needing attention.
Sometimes physical therapy is all that is necessary sometimes arthroscopy or arthroscopy surgery to tighten the ligaments. Orthopedic docs are well trained to diagnose and treat this. In some states the podiatric practice law allows them to treat as well.
Dr. Steven Sheskier
Dr. Steven Sheskier
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Dr. Steven Sheskier
Orthopedic Surgery - Foot & Ankle
2 doctors agree

In brief: Yes with explanation

Ankle replacements do not have the proven longevity that hips and knee replacements have.
If you have an ankle replacement at 22 you will probably out live the polyethylene portion of the ankle. Failed total ankles are a bit more difficult to fuse. The fda approved star replacement has an easily replaceable bearing if it wears out. Some say have a flexible ankle when young fuse when you are older. Informed consent.

In brief: Yes with explanation

Ankle replacements do not have the proven longevity that hips and knee replacements have.
If you have an ankle replacement at 22 you will probably out live the polyethylene portion of the ankle. Failed total ankles are a bit more difficult to fuse. The fda approved star replacement has an easily replaceable bearing if it wears out. Some say have a flexible ankle when young fuse when you are older. Informed consent.
Dr. Steven Sheskier
Dr. Steven Sheskier
Thank
1 comment
Dr. Bradley Butkovich
As a surgeon I tend to lead toward fusion versus replacement. Ankle replacements have a fair to marginal track record at best.
Dr. Selene Parekh
Orthopedic Surgery - Foot & Ankle
2 doctors agree

In brief: Fusion vs replacemen

The easy answer is that it depends.
You are young. With ankle replacement no impact activities are suggested. You will continue to have motion and will certainly need 1-2 revisions/redos in your lifetime. Getting your surgery done by someone who does these a lot is important. On the other hand, a fusion limits motion, gives you an abnormal gait, and increases wear of other joints.

In brief: Fusion vs replacemen

The easy answer is that it depends.
You are young. With ankle replacement no impact activities are suggested. You will continue to have motion and will certainly need 1-2 revisions/redos in your lifetime. Getting your surgery done by someone who does these a lot is important. On the other hand, a fusion limits motion, gives you an abnormal gait, and increases wear of other joints.
Dr. Selene Parekh
Dr. Selene Parekh
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Dr. Ario Kiarash
Orthopedic Surgery
1 doctor agrees

In brief: Yes but

Yes the gold standard in someone your age is still an ankle fusion.
The key is to get one with possible take down and conversion to a replacement in mind. Some where around 10-15 years after your fusion you will develop arthritis in the joints around your ankle and may need fusion of those joints. It is good to have the replacement as an option at that time.

In brief: Yes but

Yes the gold standard in someone your age is still an ankle fusion.
The key is to get one with possible take down and conversion to a replacement in mind. Some where around 10-15 years after your fusion you will develop arthritis in the joints around your ankle and may need fusion of those joints. It is good to have the replacement as an option at that time.
Dr. Ario Kiarash
Dr. Ario Kiarash
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Dr. Steven Sheskier
Orthopedic Surgery - Foot & Ankle

In brief: Yes

Youtube.Com has numerous videos showing exercises that can make labor easier. Take a prenatal class or get a pre-natal trainer to shw you personally how.

In brief: Yes

Youtube.Com has numerous videos showing exercises that can make labor easier. Take a prenatal class or get a pre-natal trainer to shw you personally how.
Dr. Steven Sheskier
Dr. Steven Sheskier
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Dr. Steven Sheskier
Orthopedic Surgery - Foot & Ankle

In brief: Yes

Negative lab test or "seronegative" RA is a known condition.
Clinically the patient has many of the signs and symptoms of RA but the RA factor is negative.

In brief: Yes

Negative lab test or "seronegative" RA is a known condition.
Clinically the patient has many of the signs and symptoms of RA but the RA factor is negative.
Dr. Steven Sheskier
Dr. Steven Sheskier
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Dr. Mehul Desai
Pain Management

In brief: Options.

You may also want to talk to a surgeon that does ankle transplants to see if this is an option for you.

In brief: Options.

You may also want to talk to a surgeon that does ankle transplants to see if this is an option for you.
Dr. Mehul Desai
Dr. Mehul Desai
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