Causes of Ankle Pain and Treatment Options, Caring for a Loved One After Total Joint Replacement Surgery, Chiropractors vs. The INBONE Total Ankle System consists of a talar dome with a modular talar stem, a tibial tray, a four-component tibial stem assembly which attaches to the tibial tray, and . Foot Ankle Int. Each of these choices has its own risks and benefits. Fracture deformity and retained hardware are common. The surgery can help reduce ankle pain, increase joint stability and improve overall mobility. What's more, after multiple weeks of reduced movement and lack of bearing any weight on the affected ankle, the muscles that surround the ankle have often atrophied or weakened, which can impact your balance. Duke University Hospital is proud of our team and the exceptional care they provide. Most patients are able to drive eight weeks after surgery on the right ankle, and sooner if the surgery is on the left ankle. Your age, medical history and lifestyle, and any arthritis treatment youve had, will help determine if this surgery is right for you, or if another treatment choice may be a better option. Exactech joint replacement devices with defective packaging Ankle replacement can take away the pain from the arthritis and preserve the motion at the joint. IMPORTANT INFORMATION ABOUT ANKLE REPLACEMENT. You wont be able to put any weight on your ankle for several weeks. The cartilage becomes thinner and rougher. Laxity about the ankle from previous ligament injury must be addressed prior to ankle replacement to build a solid platform for the replacement. Ankle replacement continues to be a viable option for treating patients with ankle arthritis. Thanks again! 2021 Oct;17(3):326-332. doi: 10.1177/15563316211026325. If the skin is of poor quality, a skin graft or flap has been placed on the anterior ankle or if there are severe varicocities noted, a possible contraindication to ankle replacement may be noted. Below are answers to other common questions about the recovery process and timing. Raikin SM, Rasouli MR, Espandar R, Maltenfort MG. Trends in treatment of advanced ankle arthropathy by total ankle replacement or ankle fusion. This is due to the fact that an ankle fusion places greater stress on the surrounding joints which may lead to further arthritic changes of the hindfoot joints, while an ankle replacement allows motion at the ankle resulting in less strain at the surrounding joints. Agarwalla A, Gowd AK, Cody EA, Johnson PK, Yao K, Nunley JA 2nd, Amin NH, Liu JN. A polyethylene component is also secured in between these two structures to help the new joint endings move smoothly on one another. You will be instructed on a home exercise program, and at this stage you can remove the boot to shower, sleep and do your exercises. The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much will you have to pay for the test or procedure. nonsteroidal anti-inflammatory drugs (NSAIDs). 1 ). Your surgeon might use a special type of cement to hold them in place. Epub 2021 Jul 7. If the implant loosens and causes pain, then a second ankle replacement surgery can be performed or the replacement implants can be removed and the ankle fused. Physical therapy guidelines for total ankle arthroplasty.