[sebgr]

In case this is useful - I had end stage arthritis in one of my ankles and ended up getting a bipolar ankle allograft in San Diego at Scripps. I barely think about it nowadays except that sometimes after a long hike or strenuous workout it will feel a bit stuff. Considering I could barely walk before it was a night and day difference.

You essentially get a completely new joint surface from a donor and have to be in crutches for 3 months but it was 100% worth it for me. I refused to do fusion and avoided any doctor that said nothing could be done.

https://pubmed.ncbi.nlm.nih.gov/31045670/

Another solution for end stage ankle arthritis is distraction surgery but I didn't look into it much but it could be useful too: https://www.hss.edu/conditions_ankle-distraction-arthroplast...