When minimally invasive treatments are not enough to reduce the effects of your ankle arthritis, James Cottom, DPM, FACFAS, and Jay Badell AACFAS at Florida Orthopedic Foot & Ankle Center can determine which treatment option is right for you and figure out if you need a total ankle replacement. Call or book an appointment online today for more information on total ankle replacement surgery.

request an appointment

What is a total ankle replacement?

Total ankle replacement, or total arthroplasty (TAA), is a surgical procedure of the foot and ankle used to treat severe ankle arthritis. It is recommended as a last resort when less invasive options fail to relieve your debilitating pain.

With proper care, TAA can help relieve your ankle pain and inflammation, while preserving the range of motion.

How does a total ankle replacement work?

During your total ankle replacement procedure, we will remove your damaged ankle joint and replace it with an implant that can give you the range of motion you need to get around.

Your new, artificial joint will relieve your ankle pain and inflammation without limiting your range of motion, much like your natural ankle joint before it was impacted by arthritis.

When your total ankle replacement is implanted properly, your normal gait and ability to walk should return to normal within a year.

Why would I need a total ankle replacement?

TAA is recommended as a last resort if your ankle arthritis continues to worsen, despite undergoing less invasive treatments like:

  • Orthotics
  • Ankle brace or boot
  • Physical therapy
  • Anti-inflammatory pain relievers
  • Steroid injections
  • Exercise modifications

If you think you may be a good candidate for total ankle replacement surgery, talk to us today.

What are my total ankle replacement options?

There are plenty of total ankle replacement brands that may be right for you,

Ankle joint replacement or arthroplasty is emerging as a healthy alternative to fusion in the surgical treatment of severe ankle arthritis. Restoring normal ankle joint function through a replacement can result in a reduction of pain and lead to a more normal gait cycle. This allows patients to recover faster and get back to the golf course. Unlike the knee and hip, which are prone to develop primary osteoarthritis, the ankle usually develops arthritis because of a traumatic event such as a fracture or long-standing instability due to a severe ankle prain.

The primary indications for a total ankle replacement are primary osteoarthritis, post-traumatic arthritis as well as rheumatoid arthritis in those patients who have failed conservative treatment.

Studies are demonstrating that the results of ankle replacement are very good and the outcome from a functional standpoint, are actually better than a fusion. With a fusion, the ankle joint is welded together and the up and downward motion is lost. An implant will allow that motion to continue and will lead to better function of the joint. This movement is important for walking, exercising as well as routine activities of daily living.

Patient selection is critical with respect to the overall success and long-term longevity of a total ankle replacement. The surgeon must take into account the age of the patient, weight, activity level, quality of bone as well as co-existing deformities when considering an ankle replacement. Not all patients with arthritis of the ankle are candidates for an implant and a different type of procedure may be a better option. All possible treatments for ankle arthritis can be explored in thorough office consultation with us.

Patients no longer have to live with debilitating pain due to ankle arthritis and in select patients, a total ankle replacement may be an excellent option. Please feel free to contact us at 941-924-8777.


The Hintermann Series implants come in both a 3 piece (mobile) and 2 piece (fixed) options.  This is the only system available in the United States that allows for both options.  Over 30,000 of these implants have been placed around the world with extensive data.  Dr. Cottom was the first US surgeon to implant both the H2 and H3 implants in 2018 and 2019 respectively.  He continues to train other surgeons on this unique implant.



The SALTO TALARIS◊ Total Ankle Prosthesis is indicated as a total ankle replacement in primary or revision surgery for patients with ankle joints damaged by severe rheumatoid, post-traumatic, or degenerative arthritis. All components are intended for cemented use only


The Kinos Axiom® Total Ankle System has an innovative biomimetic design that restores the natural range of motion and is the first-ever 3D-printed accurate ankle replacement to be backed by science. The Kinos Axiom’s semi-congruent design is better able to distribute loads across the ankle and helps patients by reducing pain, restoring alignment, and extending movement in the joint. This system is for patients with ankle joints damaged by severe rheumatoid, post-traumatic, degenerative arthritis, or failed ankle surgery.


This revolutionary ankle prosthesis is made out of metal talar dome, a titanium alloy tibial tray, and a polyethylene insert to help ensure proper ankle stability. It was designed without barrels or flanges to make fluoroscopic imaging easier.


Using computer imaging and your own CT scan, the PROPHECY replacement is designed for a perfectly customized fit.


With a mobile bearing instead of a fixed bearing to replace your ankle joint, the  STAR offers a higher range of motion and comfort for your ankle.

Call Florida Orthopedic Foot & Ankle Center today or book an appointment online to learn more.