Ankle Surgery: What to Expect and How to Prepare

Although the idea of ankle surgery can be daunting, it can significantly improve your quality of life. Whether your ankle-related issues are due to injury, arthritis, or other conditions, understanding what to expect and how to prepare for surgery can ease your anxieties and facilitate a smoother recovery process.

How to Prepare for Ankle Surgery

Before undergoing ankle surgery, your surgeon will take several steps to ensure it is the best option for you. 

This preparation phase typically begins with an initial consultation. During this meeting, the surgical procedure will be discussed in detail, including its purpose and expected outcomes. Additionally, your surgeon will evaluate your medical history and current health status to ensure you are a suitable candidate.

Once your surgeon determines that surgery is an ideal option for you, you’ll begin walking through the pre-operative steps below:

• Diagnostic tests: Your surgeon will conduct diagnostic tests and imaging to assess the extent of your ankle condition before operating.

• Medication adjustment: You may need to adjust your medications if you are regularly taking anything that could interact with your anesthesia or complicate your recovery.

• Dietary guidelines: You might be asked to adhere to specific restrictions prior to surgery, such as abstaining from food, alcohol, or tobacco. These substances can affect your reflexes, blood flow, and ability to clot, putting you at risk for complications.

• Transportation arrangement: It's also crucial to make arrangements for transportation and post-operative care, as you will be unable to transport yourself home.

• Expectation management: Surgery and recovery can be emotionally taxing, so it is wise to prepare yourself mentally. You may not be able to do everything you want to right away, but knowing how long your recovery could take can help you manage your expectations. It’s helpful to remember that ankle surgery involves short-term hardship that ultimately leads to the long-term reward of a more functional life. 

Types of Ankle Surgeries

There are several different types of ankle surgeries, each tailored to address a specific issue. The three most common ankle surgeries include ankle arthroscopy, ankle fusion, and ankle arthroplasty (ankle replacement).

ANKLE ARTHROSCOPY

Ankle arthroscopy is a minimally invasive procedure used to diagnose and treat various ankle conditions, such as ligament tears and cartilage damage. During the surgery, small incisions are made, allowing your surgeon to view and repair the affected area.

ANKLE FUSION

Ankle fusion, also known as arthrodesis, involves fusing the bones of your ankle joint together. This procedure is typically recommended for severe arthritis or instability that hasn't responded to conservative treatments. By immobilizing your joint, ankle fusion can alleviate pain and improve stability.

ANKLE ARTHROPLASTY (ANKLE REPLACEMENT)

Ankle replacement, or ankle arthroplasty, is a procedure in which the damaged parts of your ankle joint are removed and replaced with artificial components. This option is often proposed for individuals with advanced arthritis who have not responded to other treatments. Ankle replacement aims to restore function and reduce pain, allowing you to resume normal activities.

Regardless of the type of ankle surgery, there are risks and complications associated with each procedure. These may include infection, blood clots, nerve damage, and failure of the surgical site to heal properly. It's essential to discuss these risks with your surgeon and understand the potential outcomes before proceeding with surgery.

Anesthesia Options

Another aspect to consider is the type of anesthesia used during the procedure. You may undergo general anesthesia, where you are completely unconscious, or regional anesthesia, which numbs your lower body while allowing you to remain awake.

Each option has its own set of risks and considerations, which should be discussed with your doctor prior to surgery. Regardless of which type of anesthesia you choose, you will not feel any pain during your procedure.

Ankle Surgery Recovery

Immediately following ankle surgery, medical professionals will monitor your vital signs and help you manage your pain. Depending on the procedure, you may require an immobilization device, such as a cast or a brace, to support your ankle during the initial healing phase.

The length of your stay at the hospital or surgery center varies depending on the type of procedure you undergo and your recovery process. When you are discharged, you will receive guidance on wound care, medication management, and activity restrictions during the early stages of recovery.

Rehabilitation and physical therapy play a crucial role in restoring your mobility and ankle function. Physical therapy usually begins shortly after surgery and progresses gradually, focusing on strengthening exercises, range of motion activities, and gait training. To achieve the best outcome, you should actively participate in rehabilitation activities, even if they feel uncomfortable or tedious.

Managing Pain and Discomfort

Pain management is a key aspect of ankle surgery recovery. Medications may be prescribed to alleviate pain and discomfort, but non-pharmacological techniques such as ice therapy and elevation can also provide relief. 

It's important to communicate honestly with your healthcare team regarding your pain levels to ensure appropriate management. They can’t help you if you don’t speak up!

Lifestyle Adjustments and Long-Term Considerations

During the recovery period, you may need to make temporary lifestyle changes, including abstaining from weight-bearing and physical activities. If your job requires strenuous activities where you are expected to be on your feet, you might have to take some time off. Utilizing mobility aids and seeking assistance with daily tasks can also facilitate a smoother recovery process.

Follow-up appointments with your surgeon are essential for monitoring your progress and addressing any concerns that may arise during your recovery. Your surgeon will evaluate the outcome of your procedure and recommend additional interventions if necessary.

Long-term care and maintenance of your ankle’s functionality are equally important. Ongoing physical therapy and exercise can help prevent future injuries and complications, ensuring the longevity of your ankle health.

Contact Teton Foot & Ankle

Ankle surgery can be a transformative experience for individuals suffering from ankle-related issues. By understanding what to expect and how to prepare, you can approach surgery with confidence and embark on a path toward a pain-free, mobile future.

If you or a loved one is considering ankle surgery, contact Teton Foot & Ankle today to schedule a consultation. Our experienced team can help you make the decision that is best for you.