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Doctor insights on: Best Ankle Replacement Surgeons

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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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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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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?

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 kind of motion will you still have after ankle replacement?

What kind of motion will you still have after ankle replacement?

Many factors: Most patients at least maintain their pre-replacement range of motion and sometimes gain additional motion after ankle replacement. ...Read more

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What kind of limits on motion due you have after ankle replacement?

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

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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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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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What should I know about getting an ankle replacement?

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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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: 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

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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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When is it necessary to get an ankle replacement surgery?

When is it necessary to get an ankle replacement surgery?

Bone Degeneration: When there is chronic pain, lack of ankle motion and degenerative changes in the bone. ...Read more

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Does ankle replacement operation work? How much is replaced?

They work both sides: They do work, both sides of the ankle joint are replaced. ...Read more

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Which has a longer recovery time: ankle replacement surgery or ankle fusion?

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

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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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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?

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 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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I know you can have a knee and hip replacement, but can you get a ankle replacement?

I know you can have a knee and hip replacement, but can you get a ankle replacement?

Yes but..: 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

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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?

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

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Why is the bottom of my foot numb after a total ankle replacement surgery?

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

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Why might the bottom of my foot be numb after total ankle replacement surgery?

Why might the bottom of my foot be numb after total ankle replacement surgery?

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

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Please explain why is the bottom of my foot numb after total ankle replacement surgery?

Please explain why is the bottom of my foot numb after total ankle replacement surgery?

Nerve issue: This is a nerve issue. Most likely involving the posterior tibial nerve and/or its respective branches. Consult your original surgeon and ask for an MRI to determine the integrity of this nerve. Ask for a copy of the MRI results. ...Read more

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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?

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?

Depends: 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