When the articular cartilage surrounding your ankle joint (where the tibia meets the talus) is damaged beyond repair, most often due to arthritis that has occurred as a result of the previous injury to the ankle joint, ankle replacement surgery seeks to remove the damaged portion of the ankle joint and replace it with an artificial component to increase range of motion and alleviate ankle pain.

A total ankle replacement (or total ankle arthroplasty) involves 5 main steps:

1. Preparation of the Tibia – The damaged cartilage, as well as a small amount of the bone, is removed from the bottom of your shin bone (tibia) and the new surface is shaped to fit the designated implant.
2. Preparation of the Talus – The damaged cartilage, as well as a small amount of the bone, is removed from the top of your ankle bone (talus) and the new surface is shaped to fit the designated implant.
3. Positioning of Tibia Implant – A metal implant is positioned on the cut end of the tibia and cemented into place.
4. Positioning of Talus Implant – A metal implant is positioned on the cut end of the talus and cemented into place.
5. Spacing – A plastic spacer is inserted between the two metal implants to provide a smooth gliding surface, acting in place of cartilage for the artificial ankle.

No. Because BMAC injections are considered investigational for orthopedic applications, most insurance companies will not cover the cost. Please contact our office to discuss cash payment options. 

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