What to expect after foot & ankle surgery.
Ankle replacement surgery, also known as total ankle arthroplasty, is performed to relieve pain and restore movement in patients with severe ankle arthritis or joint damage.
We’ve put together a leaflet explaining all the different aspects of going through an ankle replacement and this hopefully answers most of your questions.  If you have any further questions please don’t hesitate to ask a member of the teamÂ
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Immediately After Surgery
- You will likely spend 1–3 days in hospital following your ankle replacement.
- Pain and swelling are normal in the first days, and you will be given pain relief medications.
- Your ankle will be bandaged, and you may have a splint or cast to protect the joint.
- To reduce swelling, you will be encouraged to keep your leg elevated as much as possible.
Mobility and Weight Bearing
- Initially, you will need crutches or a walker to move around.
- Most patients are not allowed to put weight on the operated ankle for several weeks.
- Your surgeon will advise when partial and then full weight bearing is safe, usually over 6–12 weeks.
- A physiotherapist will guide you through safe exercises to improve strength and flexibility.
Rehabilitation and Physiotherapy
- Physiotherapy is a key part of recovery and usually begins within days of surgery.
- Exercises focus on improving ankle movement, balance, and strength.
- Recovery is gradual, and improvement continues for 6–12 months.
Returning to Daily Activities
- Most people can return to light daily activities within 6–8 weeks.
- Driving is usually possible once you can bear weight comfortably and safely control a vehicle.
- Swimming, cycling, and low-impact activities are encouraged once approved by your surgeon.
- High-impact sports such as running and jumping are generally not recommended after ankle replacement.
Possible Risks and Complications
- Infection, blood clots, or wound healing problems.
- Nerve or blood vessel injury around the ankle.
- Loosening or wear of the artificial joint over time.
- Ongoing pain or stiffness.
- Need for revision surgery in the future.
Long-Term Outlook
Most ankle replacements provide good pain relief and improved function. Modern implants can last 10–15 years or more, depending on activity levels and overall health. Regular follow-up appointments with your surgeon are important to monitor the health of your ankle replacement.
