Total Ankle Replacement Surgery: Expected Duration and Factors
Total ankle arthroplasty (TAA) typically takes 90–120 minutes of operative time. Factors influencing duration:
- Deformity Severity: Correction of varus/valgus, rotational malalignment adds time.
- Bone Quality: Osteoporosis, cysts, prior trauma/fusion require grafting or specialized implants.
- Surgical Approach: Anterior (standard) vs. anterolateral; navigation/robotics may add setup time.
- Concomitant Procedures: Achilles lengthening, hindfoot fusion, syndesmotic stabilization.
- Surgeon Experience: High-volume surgeons often faster with fewer complications.
Preoperative anesthesia time (~30–45 min) and postoperative recovery room stay (~1–2 hrs) are additional. Discuss specifics with your surgeon during consent.
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