Total Ankle Replacement
How to decide if you need a total ankle replacement
Dr. Travis Kemp, one of our orthopedic surgeon partners, performs foot and ankle surgeries. One of the more common surgeries Dr. Kemp performs is a total ankle replacement. The purpose of a total ankle replacement is to provide relief from pain while still allowing the ankle to move. Usually, stiffness in the joint develops as a result of arthritis.
In some cases, ankle fusion is used to treat arthritis in the joint. During ankle fusion, the tibia and talus heal together to create a single bone. This helps patients with pain relief but it may not be the best option for an active patient who would like to preserve their range of motion in their ankle joint. In an ankle replacement, the joint is removed but replaced with metal and plastic components, which mimic the motion of the biological joint. Additionally, preserving the joint between the tibia and talus takes pressure off other joints in the foot, helping to prevent more damage or degeneration in the foot.
After a patient has decided to go forward with a total ankle replacement, they will work with Travis Kemp, MD, to decide which replacement will be the best fit. Dr. Kemp uses multiple ankle replacement systems, including the following Wright Medical total ankle systems: INBONE, INFINIITY, and PROPHECY. Another implant that Dr. Kemp uses is the Scandinavian Total Ankle Replacement (STAR), originally developed by Dr. Hakon Kofoed.
Regardless of which system a patient chooses, the pre-operative and post-operative protocols are similar. A total ankle replacement is an in-patient procedure that usually lasts under two hours. Once the surgery is completed, the ankle is immobilized in a cast or boot, and patients are not able to bear weight for 3 weeks. Usually, 6 weeks after surgery, patients can begin to bear weight and engage in physical therapy. After 10 weeks, patients receive a lace-up brace and continue physical therapy. For most patients, it is recommended to follow up each year after their 6-month visit.
If you are having problems with ankle pain or would like a second opinion, walk-in to Direct Orthopedic Care. We are open 7 days a week!