2021 Jan;39(1):94-102. doi: 10.1002/jor.24902. An innovative total ankle replacement system designed by Duke orthopaedic surgeons combines the best features of other types of replacements and offers many advantages over fusion, giving patients a new option for reducing pain and preserving flexibility and motion. 2010: 30: 119130. Second-generation ankle implants are cement-less with a fixed (two-component design) or mobile (three-component design) polyethylene bearing. Ankle OA Replacement Surgery. If there is a potential for cystic changes in the talus or tibia or signs of avascular necrosis, an MRI or CT scan may be ordered to further assess the ankle joint. Occasionally, the slippery surface (known as articular cartilage) that coats the ends of these bones begins to thin or deteriorate. Cleveland Clinic 1995-2023. Total ankle replacement - surgical treatment and rehabilitation. 2. I am 66, 62 and 250 lbs. Most patients can walk using a protective boot at four weeks after surgery and can walk wearing a regular shoe at eight weeks. Gait training to help you stand and walk. How often have you misplaced your cellphone or car keys? Accessed 11/18/2021. This takes away the pain for the ankle arthritis and preserves the motion in the joint. Most patients are able to drive eight weeks after surgery on the right ankle, and sooner if the surgery is on the left ankle. Massachusetts General Hospital. Carefully reviewing your situation with your doctor to determine if youre a good candidate for this surgery is critical. Similarly, healthcare providers may not recommend replacement for people with certain medical conditions: The first step is to see a healthcare provider who will perform a physical exam and x-rays to determine if you are a candidate for an ankle replacement. After your surgery, you will probably need to wear a splint for a couple of weeks. Arthritis can affect this joint as well as other joints in the foot. Before ankle replacement gained acceptance, ankle fusion surgery was the standard treatment for ankle arthritis. What's Ankle Replacement & Ankle Fusion If you suffer from painful advanced ankle arthritis, ankle deformity, or a severe ankle injury, and haven't received relief from non-surgical treatments, you have two very effective surgical options. The pain should begin to diminish over a few days, and you should have less pain than before your surgery. The downside is that not every patient is an appropriate candidate for ankle replacement. That said, in many individuals, this procedure can significantly improve your overall pain and function over time, so do your best to have patience with yourself during your recovery. This helps patients perform tasks such as walking on uneven ground and going up and down stairs. Total ankle replacement, or ankle arthroplasty, treats ankle arthritis. This procedure is one of the only alternatives to ankle fusion, which relieves pain but limits the joints up-and-down movement. Topaz Procedure for Heel Pain and Plantar Fasciitis. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. They will then replace them with a joint made of plastic and metal. After four weeks, you begin walking in a boot and begin physical therapy. Anita Chandrasekaran, MD, MPH, is board-certified in internal medicine and rheumatology and currently works as a rheumatologist at Hartford Healthcare Medical Group in Connecticut.
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