Ankle Replacement - Discharge

Activity

Your health care provider will ask you to rest when you first go home. Keep your leg propped up on one or two pillows. Place the pillows below your foot or calf muscle. This helps reduce swelling.

It is very important to elevate your leg. Keep it above heart level is possible. Swelling can lead to poor wound healing and other surgery complications.

You will be asked to keep all weight off of your foot for 10 to 12 weeks. You will need to use a walker or crutches.

• You will need to wear a cast or a splint. Take the cast or splint off only when your doctor or physical therapist says it is ok.
• Try not to stand for long periods.
• Do the exercises your doctor or physical therapist showed you.

You will go to physical therapy to help your recovery.

• You will start with range of motion exercises for your ankle.
• You will learn exercises to strengthen the muscles around your ankle next.
• Your therapist will slowly increase the amount and type of activities as you build strength.

DO NOT start heavier exercises, such as jogging, swimming, aerobics, or bicycling, until your doctor or therapist tells you it is ok. Ask your provider when it will be safe for you to return to work or drive.

Wound Care

Your sutures (stitches) will be removed about 1 to 2 weeks after surgery. You should keep your incision clean and dry for 2 weeks. Keep your bandage on your wound clean and dry. You may change the dressing every day if you like.

DO NOT shower until after your follow-up appointment. Your provider will tell you when you can begin taking showers. When you do start showering again, let the water run over the incision. DO NOT scrub.

DO NOT soak the wound in the bath or a hot tub.

Pain

You will receive a prescription for pain medicine. Get it filled when you go home so you have it when you need it. Take your pain medicine when you start having pain so the pain does not get too bad.

Taking ibuprofen (Advil, Motrin) or another anti-inflammatory medicine may also help. Talk to your provider about what other medicines you can take with your pain medicine.

When to Call the Doctor

Call your health care provider if you notice:

• Bleeding that soaks through your dressing and does not stop when you put pressure over the area
• Pain that does not go away with your pain medicine
• Swelling or pain in your calf muscle
• Foot or toes that appear darker or are cool to the touch
• Redness, pain, swelling, or yellowish discharge from the wound sites
• Fever that is higher than 101°F (38.3°C)
• Shortness of breath

References

Murphy GA. Total ankle arthroplasty. In: Canale ST, Beatty JH, eds. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 10.

Wexler D, Grosser DM. Ankle arthrtitis. In: Frontera, WR, Silver JK, Rizzo TD, eds. Essentials of Physical Medicine and Rehabilitation. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 82.