Total Ankle Joint Replacement (Salto® Talaris)

Overview

This surgical procedure is performed to remove portions of the ankle that are diseased or severely injured and to implant a device that will help manage pain and restore mobility to the ankle.

Preparation

In preparation for the procedure, the patient is positioned and anesthetized. The surgeon creates an incision in the front of the ankle to access the joint.

Removing Damaged Bone

A portion of the tibia is removed. In some cases, part of the the fibula may also be removed to make room for the implant device. The top of the talus is cut away and smoothed.

Inserting the Implant

The bottom portion of the implant is positioned on the talus. The top portion of the device is then inserted into the base of the tibia. For some, bone graft is placed in the lower space between the tibia and fibula to fuse the bones and insure that the device remains securely in place.

End of Procedure

The incision is closed with sutures or surgical staples, and the ankle is bandaged and placed in a splint. A hospital stay one to three days after the surgery may be required. The splint is removed several days after surgery to allow movement of the ankle for therapy exercises. Full weight is typically not applied to the foot for at least six weeks. An ankle support may be required for up to one year after the surgery.

Followup

Once an ankle has been successfully replaced, the patient will likely have to follow up with the surgeon on an occasional basis to monitor the implant. The polyethelene-based mobile bearing can wear out over time and may need to be replaced to ensure the implant continues to function properly for many years.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.