Ankle joint replacement has been performed in Europe since the 1970’s. Implants have been available in the United States since October of 1998. There are currently three FDA approved TAR implants: the Agility, the InBone, and the Salto-Talaris. For an artificial joint to be successful, it must be able to withstand the pressures associated with weight-bearing and motion. Implants that are well-designed and properly implanted have a high success rate of 92 - 95 percent. Today almost everyone knows someone who has had a hip or knee replaced. Major advancements have taken place over the years to make them last longer with fewer complications. The same is true for the ankle joint replacement. Before ankle joint replacement was available, the only options for treating a painful ankle included anti-inflammatory medications, pain pills, braces, physical therapy, fusion or even amputation. All these options have significant drawbacks.