Doctor insights on:
Best Ankle Replacement Surgeons
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
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
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
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
Discuss: This with the orthopedist that is treating you. ...Read more
Many factors: Most patients at least maintain their pre-replacement range of motion and sometimes gain additional motion after ankle replacement. ...Read more
Variable: The best predictor of ankle motion after ankle replacement is ankle motion before replacement. While motion can be gained, this is by no means guaranteed as factors such as capsule and tendon contractures can also play a role. ...Read more
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
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
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
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
You've 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
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
Bone Degeneration: When there is chronic pain, lack of ankle motion and degenerative changes in the bone. ...Read more
They work both sides: They do work, both sides of the ankle joint are replaced. ...Read more
Depends: Most total ankle replacements require a shorter period of being non weight bearing than ankle fusions. The decision for which of these treatment options is best should not be based on the recovery time but rather factors such as age, size, functional demands, etc. ...Read more
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
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
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
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
Unfortunately, the results have not been as reliable as knee and hip replacement.
There are stringent criteria to be an ideal candidate for ankle replacement. The ankle is not as forgiving as these other joints and the procedure is highly technical. Anyone considering this option make sure that you consult with a orthopaedic foot and ankle surgeon. One in your area can be found at www. Aofas. Org. ...Read more
I had a complete ankle replacement over three months ago. Since then have not been able to bend my big toe at knuckle and lots of pain?
Scar tissue: The tendon that flexes the great toe at the knuckle is in the back of the ankle joint and very close to the incision/bone cuts s that are made during the procedure. It is not uncommon to have scar tissue form around this tendon making it difficult to flex the great toe. This can resolve with time and rarely needs more treatment than physical therapy. Sometimes it is injured MRI can help determine ...Read more
Numbness in Foot:
It could be a number of factors that go along with the big picture of total ankle replacement.
It may be numbness that has been present for a long time that has gone un-noticed b/c of the pain in your ankle joint. It may also be due to post-operative swelling at the surgical site.
I would discuss the numbness with your surgeon, continue with physical therapy and give the numbness time to resolve. ...Read more
Numbness: There are a number of reasons for this. Seeing your treating surgeon is most beneficial as he knows what was done in the operating room. ...Read more
I recently had a total ankle replacement done (2.5 wks ago) and I was wondering if smoking small amounts of medical marijuana would hinder healing?
If you have a medical condition that medical marijuana is prescribed for it is OK
Just make sure you follow the weight bearing status that you doctor has prescribed and be care not to get light headed and/or fall ...Read more
I have just had a steroid injection in an ankle replacement, I take pradaxa and my heart is really racing now. Is it the injection that has caused it?
If injected into: A blood vessel certainly possible.....hopefully it has stopped by thetimeyou are reading this if not call 911 ...Read more