Total ankle replacement is an operation to replace a worn-out ankle joint by resurfacing the ends of your tibia and talus with metal components with a plastic insert in between them to allow gliding motion. Most ankle replacements feature a mobile component that moves forward and backwards somewhat during ankle motion. This mobile component is typically constructed of ultrahigh molecular weight polyethylene (hard wearing plastic) and lies freely between the talar and tibial components. Two-component or fixed bearing ankle replacements, in which the plastic is fixed to the tibial component, are several types of ankle replacements. No one can definitively say whether a fixed bearing or mobile bearing implant is superior, so you should examine your options with your surgeon. There are currently more than 11 different prostheses available, but as none of them have a certain benefit over the others at this time, we advise talking with your surgeon about your options.
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