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Doctor insights on: Ankle Replacement

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Dr. Allen Lu Dr. Lu
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Titanium knee joint replacement possible?

Dr. Allen Lu Dr. Lu
1 doctor agreed:
Titanium knee joint replacement possible?

Yes: Most knee replacements are made of cobalt alloys because they are harder. The titanium is generally too soft to work as a knee surface. There is, however, one total knee replacement made of titanium where they have hardened the end of the titanium (making it a ceramic compound). ...Read more

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Most preferred knee brace for dislocating knee cap?

Most preferred knee brace for dislocating knee cap?

Patellar brace with-: A doughnut in it to keep the patella reduced in its place, preventing it from dislocating again. ...Read more

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Is?Knee joint replacement?Covered?By work comp?

Is?Knee joint replacement?Covered?By work comp?

Depends: There is no absolute answer. Worker's compensation will cover a knee replacement if the knee was injured on the job or caused by the job. Workers compensation experts will determine if the knee injury was a chronic problem or if it was caused by the occupation or workplace. ...Read more

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What would cause knee locking up after total knee replacement?

What would cause knee locking up after total knee replacement?

Knee locking: You should have this discussion with your surgeon. If he does not give you a satisfactory answer and solution, it is okay to get a second opinion. ...Read more

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Is physio therapy after a complete knee joint replacement surgery imporant?

Is physio therapy after a complete knee joint replacement surgery  imporant?

Very important: Therapy is important after knee replacement in order to regain all of your range of motion and in order to work on strengthening the knee so that you can have a normal gait (walk normally without a limp.). ...Read more

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What is involved in knee manipulation after total knee replacement surgery?

What is involved in  knee manipulation after total knee replacement surgery?

Forceful bending: A total knee replacement that has not regained adequate knee flexion after surgery can by treated with a manipulation under anesthesia. This procedure involves the manual disruption of fibrous scar tissue that can sometimes develop within the knee joint. Dedicated range of motion exercises, with a physical therapist and done independently, are critical to the success of this procedure. ...Read more

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Hip osteotomy or hip replacement. Which is better?

Hip osteotomy or hip replacement. Which is better?

Replacement: There are very, very few indications for an osteotomy in this day and age. If the arthritis is bad enough, replacement is usually the most reliable choice. ...Read more

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Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Advanced articular cartilage loss in medial compartment of tibio-femoral and patella-femoral joints. Would partial (unicondylar) knee replacement work?

Maybe: This decision is best made by your own orthopedist who has direct access to your x rays. A second opinion never hurts. In someone so young, if you can get away with something short of a total joint replacement, it is always preferable to do so. ...Read more

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Is knee rehab enough without knee surgery for bad knee cartilage?

Is knee rehab enough without knee surgery for bad knee cartilage?

Depends: It depends on whether you are referring to articular or meniscal cartilage (there are two types within the knee). Many factors influence a recommendation on this question. Your age and degree of arthritis would need to be considered. ...Read more

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Are ankle replacements an option for severe ankle pain?

Are ankle replacements an option for severe ankle pain?

For the right reason: Not all ankle pain means you need a replacement or even surgery. See a foot and ankle specialist to assist in tailoring appropriate treatment for your condition. ...Read more

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Dislocated knee with fractured kneecap treatment?

Dislocated knee with fractured kneecap treatment?

This depends on ...: What kind of dislocation? I would guess your knee cap slid out of position and when it came back a piece of the knee cap fractured. In this case the knee cap fracture dictates the treatment course. If the fracture is out of position you may need surgery. If it is not, bracing followed by pt can be helpful. Ultimately if knee cap is unstable you may need surgery to repair ligaments. ...Read more

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Question for total knee replacement-is inpatient rehab necessary?

Question for total knee replacement-is inpatient rehab necessary?

Not necessarily: After a total knee replacement, you will definitely need physical therapy. The setting will depend on your general health and other medical co-morbidities. The different settings could include home with outpatient therapy, home with home health therapy, at a skilled nursing facility, or at an inpatient rehabilitation facility. Your doctors will help determine the most appropriate rehab setting. ...Read more

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Can knees lock up after total knee replacement?

Can knees lock up after total knee replacement?

Yes, but not often: Knee replacements can feel like "seizing" or "locking up" on rare occasions and they are usually not due to the device. The most likely phenomena you are experiencing is either "crepitus" or "clunk" which is when scar tissue surrounding the front of the knee gets trapped within the device creating a sensation of locking up. When severe enough, it can be alleviated by removing that scar tissue. ...Read more

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Does knee replacement treat arthritis? Is knee replacement a good option for treating arthritis? .

Arthritis: Arthritis by definition is the loss or wearing away of the articular cartilage within the knee joint. In a total knee replacement, the cartilage is replaced with the prosthetic components, thereby getting rid of the arthritis permanently. For severe, end-stage arthritis, knee replacement is the best option. ...Read more

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Is ice skating recommended after hip replacement?

Is ice skating recommended after hip replacement?

Hip Replacement: The biggest danger with ice skating after hip replacement is likely falling and either dislocating your new hip or breaking a bone around the hip. The actual skating part should be okay. I would recommend checking with your surgeon to make sure it is okay. ...Read more

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What is hip replacement revision?

See details: The initial artificial hip or a component of the hip is replaced by a new hip or component. ...Read more

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Would total knee replacement , elimminate my grade 3 chondromacia?

Yes: A total knee resurfaces the parts of the knee that rub together. Instead of having worn out cartilage (chondromalacia) or bone rubbing together, you would have artificial surfaces of metal and polyethylene rubbing together. As these materials have no nerve endings, there is no pain created where they are in contact. The worn areas of cartilage are replaced. ...Read more

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How safe is hip and knee replacement surgery?

How safe is hip and knee replacement surgery?

Both have become : Very common and routine procedures. These have the best outcomes done by surgeons who do a lot of them. However, a lot also depends on the status of the patient with obesity, malnutrion, diabetes, peripheral vascular disease, osteoporosis, presence of autoimmune diseas such as lupus, clotting disorders, prior blood clots or dvt, varicose veins and deformities in legs all having an impact. ...Read more

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What is an ankle replacement like?

What is an ankle replacement like?

Similar to normal: Replacing an ankle is as close to normal as possible if you are considering a replacement vs fusion. ...Read more

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What is the process to get an ankle replacement?

What is the process to get an ankle replacement?

Pain+stiffness: If you have a painful ankle and xrays show loss of cartilage(arthritis) when nmedications, orthotics, braciing and shoe modifications do not allow you to function, you are a potential candidate for an ankle replacement. Requires examination by an ortho surgeon with experience in procedure.Need adequate bone stock, correctable deformity(s), good skin/circulation .Sakvage is an ankle fusion. ...Read more

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What is the hintegra ankle replacement technique?

What is the hintegra ankle replacement technique?

Complex: This replacement of an ankle is complex and 400 characters won't reveal much. Ask your surgeon their preferred or planned implant and go to the manufacturers website. Many have excellent patient information pages. ...Read more

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How long is the recovery for an ankle replacement?

How long is the recovery for an ankle replacement?

6-12 months: Studies have shown with the most recent generation of ankle replacements that the majority of improvement takes place in the first 6 months or so with the improvement tapering off and usually complete by 12 months . Of course this is statistical and specific patients can have a more prolonged course before maximum improvement. ...Read more

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How painful is having an ankle replacement/fusion?

How painful is having an ankle replacement/fusion?

Variable: There is some pain involved because of soft tissues and bone are cut and manipulated. Hardware also has to be placed. Many surgeons performing use regional nerve blocks which substantially decrease and sometimes even eliminate the pain for an extended time. Everyone has a different pain tolerance and response to pain medications as well. In short the pain levels vary with individual cases. ...Read more

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When is an ankle replacement the right thing to do?

Painful mobile ankle: When the pain and disability of a painful arthritic ankle no longer is tolerated by a sufferer an ankle fusion or replacement should be considered. Best candidate for an ankle replacement is a patient with a painful ankle arthritic that has some motion remaining. An state of the art ankle replacement will relieve pain and maintain or improve the motion. If it fails an ankle fusion can be done. ...Read more

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Is it common to have an ankle replacement or fusion?

Is it common to have an ankle replacement or fusion?

Ankle surgery: At your age, if indicated (arthritis, etc) it is usually an ankle fusion that takes place unless you have been told you have juvenile ra. Both procedures are commonly done by foot and ankle surgeons who have been trained properly. The recovery time is roughly the same, but at your age, if indicated by medical history and physician evaluation, usually a fusion is done. Hope that helps! ...Read more

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What is involved in having a ankle replacement done?

Metal/plastic insert: Ankle replacement involves removing a small portion of bone on both sides of the joint (tibia and talus) and replacing it with metal on both ends and a special plastic (uhmwp) insert in the middle. It should be done by an experienced orthopaedic foot and ankle specialist. ...Read more

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What should I know about getting an ankle replacement?

Ankle replacement : There are a few things you need to consider for this procedure. Number one there are only a few people in the country that actually perform this type of surgery and do it well. Number two although the new devices that are out there (salto talarus, inbone, star and others) they still do not last as long as a total knee. If your considering this procedure seek out someone who does these a lot. ...Read more

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How successful is a hintegra ankle replacement procedure?

How successful is a hintegra ankle replacement procedure?

Successful: This prosthesis has a very good success record in europe. Unfortunately, it is not fda approved for use in the U.S. There is a comparable (three component) prosthesis called the star that is fda approved for use in this country. It also has a very good record. www.orthodoc.aaos.org/footankle. ...Read more

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When do you know when you should get an ankle replacement?

When do you know when you should get an ankle replacement?

Ankle Replacement: The bottom line should be....when it interferes with your normal and daily life activity. If painful when walking or standing for any period of time. If you are a candidate, total ankle replacement is an excellent choice (TAR). There are other option, Fusion and and non-surgical bracing. Bracing should be your first choice well constructed brace (Arizona or Ritchie) before surgery. ...Read more

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How long does it take to recover from an ankle replacement?

How long does it take to recover from an  ankle replacement?

Surgery recovery: It takes skin 2-3 weeks to heal and then you will be started in therapy. It may be 1 -2 years before you have finished recovering, slowly improving until up to 6 months. Don't expect the end result to reach 100%. The goal is improved motion, decreased pain. ...Read more

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Can you have an ankle replacement done after you have an ankle fusion?

Can you have an ankle replacement done after you have an ankle fusion?

Yes...maybe: This is possible, but it is a highly complex procedure and must be done by a trained foot and ankle orthopedic specialist who has extensive experience with total ankle replacement. ...Read more

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I shattered my ankle and had to have it fused. Is ankle replacement the next step?

I shattered my ankle and had to have it fused. Is ankle replacement the next step?

Shattered Ankle: Youve had a devastating injury requiring a fusion surgery..... I would exhaust all means to avoid further surgeries at this point and allow yourself to heal and regain strength and function it will also give you time to research the various implants available and the surgeons that would perform an ankle replacement on a fused ankle.. Bracing is certainly an option. ...Read more

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I have an artificial ankle replacement coming up, what can I expect and what can I do to prepare?

Talk to your surgeon: Talk to your surgeon preoperatively about the planned procedure, potential risks and complications, the expected outcome, and your expected recovery and return to activity. Being prepared preoperatively will ensure you have realistic expectations. ...Read more

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What to expect from ankle replacement surgery?

What to expect from ankle replacement surgery?

Fair to good results: Most published reports related to total ankle arthroplasty have a fair to poor-quality level of evidence. Comparative studies with a fair to good-quality level of evidence suggest that total ankle arthroplasty provides equal pain relief and possibly improved function compared with other procedures. ...Read more

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What is involved after ankle replacement surgery?

Physical Therapy: As with any joint repacement surgery a lot of physical therepy is necessary. ...Read more

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