Certain individuals may not be suitable for ankle replacement surgery due to various factors. These factors often relate to underlying health conditions, lifestyle choices, or the specific nature of the ankle problem. For example, individuals with poor vascular health or active infections in the ankle joint are generally not considered suitable candidates. Additionally, those with peripheral neuropathy, which can impair sensation in the feet, might not be ideal candidates as they may not be able to adequately protect the replaced joint. Significant bone loss or severe deformity in the ankle joint can also preclude successful ankle replacement.
Careful patient selection is crucial for successful outcomes in ankle replacement surgery. Appropriate patient evaluation, including a thorough medical history, physical examination, and imaging studies, helps identify individuals who are most likely to benefit from the procedure and avoid complications. Historically, ankle replacement was a less common procedure compared to other joint replacements. However, advancements in surgical techniques, implant design, and patient selection criteria have led to improved outcomes and increased utilization of ankle replacement as a viable treatment option for end-stage ankle arthritis.
