Total ankle replacement can be a great treatment of end-stage ankle osteoarthritis. Ankle fusion was the gold standard for a long time.  Fusing the ankle is still a great procedure with predictable results. Unfortunately, fusing the ankle eliminates a lot of motion and can wear out the surrounding joints. Ankle replacement has made great advancements in the past few decades. Current implants help alleviate pain while maintaining motion. Schedule an appointment with Dr. Daigre to see if an ankle replacement is the right procedure for you.