Ankle fracture from 45 yrs ago

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Fractured my ankle at 17 yrs. Now I'm 60. Saw the dr two days ago and it's looking like I'm going to have to choose between Fusion or ankle replacement. Wearing a soft brace and it helps with a lot of the pain I've been experiencing.  Since 2015 I've had double knee replacements and surgery for rotator cuff. I'm pretty nervous about this surgery.

Chean houses, pretty active and really need to enjoy and keep up with my two granddaughters. Please give me some advice on what I should choose.

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