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Total Talus Replacement

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What Is Total Talus Replacement?

Total Talus Replacement is a surgical procedure designed to address conditions affecting the talus bone in the ankle. Surgeons perform this intervention to replace the damaged talus with prosthetic components, aiming to restore function and alleviate pain. It’s a specialized solution for cases where conservative treatments may be insufficient.

Talus Replacement May Benefit:

  • End-Stage Arthritis: Total Talus Replacement may be considered for individuals experiencing end-stage arthritis in the talus, where conservative measures such as medications and physical therapy no longer provide relief, and joint degeneration significantly impairs daily activities.

  • Severe Traumatic Injury: Cases involving severe traumatic injuries to the talus, such as fractures that result in significant joint damage and instability, may warrant Total Talus Replacement as a solution to restore normal function and mitigate persistent pain.


Preoperative Assessment: Thorough examination and imaging studies to assess the extent of talus damage. Evaluation of the patient’s overall health and fitness for surgery.

Anesthesia: Administering general or regional anesthesia to ensure the patient is comfortable and pain-free during the procedure.

Incision: Surgeon makes an incision, often along the front or side of the ankle, providing access to the damaged talus.

Talus Removal: Careful removal of the damaged talus while preserving surrounding structures.

Prosthetic Insertion: Implanting a prosthetic talus component, which may be custom-fitted to the patient’s anatomy.

Closure: Closing the incision with sutures or staples.

Postoperative Care: Monitoring the patient in a recovery area before transferring to a regular hospital room.

    • Following a rehabilitation plan to promote healing and regain optimal function.



  • Varied Duration: The recovery period after Total Talus Replacement can vary among patients.
  • Resumption of Activities: Many individuals can gradually resume normal activities within weeks post-surgery.
  • Factors Influencing Recovery:
    • Cyst Characteristics: The specific location and size of the replaced talus.
    • Surgical Approach: The chosen technique for the replacement procedure.
    • Patient Health: The overall health and adherence to postoperative care.
  • Individualized Instructions: Surgeons provide personalized guidance for optimal recovery.
  • Patient Compliance: Strict adherence to postoperative instructions ensures a successful and tailored recovery.
  • Close Monitoring: Regular follow-up appointments enable surgeons to track progress and address any concerns.

Patients are encouraged to communicate closely with their healthcare team for a smoother recovery, considering the uniqueness of their condition and the factors influencing the procedure’s outcome.



Total Talus Replacement delivers significant pain relief and improved ankle function. Additionally, patients commonly experience reduced or eliminated pain, leading to enhanced mobility and an expanded range of motion. However, individual results may vary based on factors such as preoperative damage and surgical techniques. Therefore, regular follow-up appointments are essential for monitoring long-term success, ensuring sustained benefits for each patient.

In conclusion, Total Talus Replacement emerges as an effective solution, offering tangible improvements in pain reduction and joint functionality. The procedure’s success is contingent on individual factors, underscoring the importance of personalized care and consistent follow-up to secure lasting benefits for patients on their journey to restored ankle health.

If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.