Patient information
Treatment, recovery and returning to the life you enjoy
Foot & ankle
Total Ankle Replacement Surgery
Total ankle replacement is gaining popularity as an alternative to ankle fusion, which permanently joins the bones and eliminates motion.
- Pain relief — Research has shown that patients experience very similar levels of pain relief at one year following total ankle replacement surgery when compared with ankle fusion.
- Preserved movement — An ankle replacement is designed to preserve movement in the ankle joint. For some patients, this can allow significantly improved ankle motion and a more natural walking pattern compared with fusion.
- Protection of other joints — There is growing evidence that, in patients with arthritis affecting multiple joints in the foot, a total ankle replacement may help protect surrounding joints by maintaining ankle movement and reducing stress on those joints.
- Long-term function — The Infinity Total Ankle System that I use is currently the most widely implanted ankle replacement in the world. Studies show 91–97% implant survivorship at 8 years, indicating very good medium-term outcomes.
- Computer-guided surgery — I use modern techniques for ankle replacement surgery, including CT scanning and computer-guided planning. 3D-printed models of the ankle are created to allow highly accurate surgical planning. These techniques can improve surgical precision and may reduce incision size and operative time.
- Ankle fusion — It should be noted that for many patients, ankle fusion performed using keyhole (arthroscopic) techniques can be highly successful. This procedure may be particularly suitable for younger, fitter patients with isolated advanced ankle arthritis.
Downloads
Patient Information and Treatment
These PDF documents contain detailed information about procedures, preparation and care. They are printable and suitable for saving for offline reference.
Common questions
Frequently Asked Questions
What types of ankle surgeries do you perform?+
I specialise in ankle reconstruction, total ankle replacement, ankle fusion, arthroscopic keyhole procedures, Achilles tendon surgery and procedures for foot deformity.
When might I need foot and ankle surgery?+
Surgery is typically considered when conservative treatments such as rest, physiotherapy, bracing, medication or injections no longer relieve pain, instability, swelling or limited mobility.
What type of foot surgeries do you perform?+
I perform basic and complex foot surgery including fusion or replacement of the big toe, bunion surgery, treatment of hammer or claw toes, Morton’s neuroma and worsening deformity or arthritis throughout the foot.
What is the recovery process like after ankle surgery?+
Recovery depends on the procedure. I generally ask patients to rest and elevate their feet for two weeks. Many patients can put weight through the foot or ankle immediately, although some procedures require a plaster, special shoe or boot.
What are the risks and complications of ankle surgery?+
All surgery carries risks including scars, infection, pain, swelling, bleeding, blood clots, nerve or vessel damage, stiffness and poor healing. General and procedure-specific risks will be discussed fully as part of consent.
Will I need physiotherapy after surgery?+
Yes. Physiotherapy is essential for regaining strength, range of motion and balance. It usually starts soon after surgery and may continue for several weeks or longer.
How can I manage pain and swelling after surgery?+
Follow all post-operative instructions, use prescribed pain medication, and rest and elevate for the recommended time. If pain worsens, you become feverish or unwell, or you are worried, contact us immediately, contact the Duchy, or call 999 in an emergency.
Need a consultation?
Bring any imaging, your medical history and a list of your symptoms or questions. We will guide you through all relevant options personalised to you.
Contact the clinic
Knee
Benefits of Total Knee Replacement Surgery
Knee replacement surgery can offer substantial life-changing benefits for people with persistent severe knee pain, reduced mobility and impaired quality of life due to arthritis, injury or deformity.
- Pain relief
- Improved function and mobility
- Increased quality of life
- Correction of deformity and improved stability
- Durable and predictable outcomes
Recovery takes time—full functional improvement often occurs over 3–12 months. A consultation with Mr Butler will help determine if you are suitable for knee replacement surgery with open, shared decision making.
Sports injuries
Back to sport safely and quickly
In the foot and ankle clinic I treat the full range of foot and ankle sports injuries for recreational and elite athletes. As part of this I combine specialist orthopaedic training with extensive surgical and non-surgical experience.
I have extensive experience with high performing elite athletes and military personnel, both serving and retired. I am proud to be part of the medical team at the Cornish Pirates, offering pitch-side care and care for acute and chronic injuries.
- Detailed assessment and access to specialist imaging
- Individualised physiotherapy and rehabilitation
- Ankle stabilisation, arthroscopy and tendon repair
- Clear return-to-play milestones