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Total Ankle Arthroplasty (Total Ankle Replacement)

Ankle arthritis, whether due to trauma or osteoarthritis, can be extremely debilitating. Chronic ankle pain often can be managed with non-surgical treatment options (NSAIDS, steroid shots, bracing). When these options fail to provide significant relief, ankle replacement surgery may be a good alternative. The ankle replacement physicians participating in the referral line have advanced training and experience in performing ankle replacement procedures.

Ankle Replacement Symptoms

Ankle replacement may be recommended for patients suffering from:

  • Chronic ankle pain
  • Advanced ankle arthritis from a traumatic injury or osteoarthritis
  • Rheumatoid arthritis or other inflammatory causes

Ankle replacement surgery may be contraindicated for patients with:

  • Significant ankle deformity
  • Avascular necrosis (AVN)
  • Previous or current infections of the ankle
  • Significant neuropathy in the foot
  • Poor blood flow to the leg
  • Insufficient soft tissue

About Ankle Replacement Surgery

Ankle replacement surgery should only be considered after conservative treatment options for ankle arthritis have failed to provide significant relief. Ankle replacement surgery is performed by making an incision in the front of the ankle and removing the diseased portion of the tibia and talus bones. The bone is meticulously cut and prepared to allow the metal ankle components to fit anatomically into the patient’s leg. In some cases, it is necessary to make additional incisions to release the Achilles tendon (gastroc release) or to repair the medial or lateral ankle ligaments.

Patient who undergo ankle replacement surgery in Plano, TX typically stay in the hospital for1- 2 days. They will need to wear a cast for 2 weeks and a boot for 6 weeks. Most patients are bearing weight on their ankle at 4 weeks in the boot and are in their normal shoes by 8 weeks. Patients will also need to participate in physical therapy after their surgery.

Ankle Replacement Implants used by Participating Physicians

  • Infinity Prophecy and InBone
  • Star
  • Salto
  • Vantage

Participating Physicians Who Offer Ankle Replacement

Keith Heier, M.D.
Christopher Sakowski, M.D.