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Though there could be multiple reasons behind this, and a real-time examination of the patient is required to make a proper diagnosis, a probable cause could be the compression of the venous network of the hip region involved in the surgery, due to which the venous return of the ankles and legs, which is primarily via the great saphenous vein draining into femoral vein, gets interrupted, causing pooling of blood and lymph in the lower limb, causing edema and hence swollen leg and ankle.

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Q: Why would the leg and ankle be swollen after hip replacement?
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