When is ankle surgery necessary?

Ankle surgery is usually considered when conservative treatments like rest, ice, physical therapy and medication fail to relieve symptoms.

Common indications include severe ankle fractures, chronic instability, persistent pain due to arthritis or unstable ligaments.

If ankle pain significantly impairs walking, standing, or daily activities, and imaging shows significant joint damage or structural abnormalities, surgery may be necessary.

For example, if the ligaments are torn and cause recurrent instability, surgical repair or reconstruction is often recommended.

Similarly, progressive osteoarthritis that does not respond to non-surgical treatment may require ankle fusion or replacement.

It is essential to undergo a thorough evaluation by an orthopedic specialist who will evaluate clinical signs and imaging tests (X-rays, MRI) to determine if surgery is appropriate. The decision is personalized, taking into account the patient's activity level, age and general health.

Surgery is usually a last resort after the conservative options have been exhausted, but in some cases, early intervention can prevent further deterioration of the joint and improve function.

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