It's most often done as an outpatient surgery, so you can go home the same day. Total ankle replacement - surgical treatment and rehabilitation. Total ankle replacement, or ankle arthroplasty, treats ankle arthritis. Would you like email updates of new search results? The importance of a stable soft-tissue envelope for coverage of implant compromise has been previously described, but the predictive factors for successful salvage of complicated TAA remain poorly understood. If you are in need of a foot doctor in Sugar Land, TX , visit Advanced Foot & Ankle Specialists or call 281-242-3338. Why get reconstructive surgery on your ankle? These issues may require additional surgery and include infection or loosening/wear All surgeries come with possible complications, including the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots. 2015 May;23(5):272-82. doi: 10.5435/JAAOS-D-14-00017. The content is not intended to substitute J Orthop Surg Res. (https://www.footcaremd.org/conditions-treatments/ankle/total-ankle-replacement) Accessed 11/18/2021. Total ankle replacement surgery usually treats ankle arthritis. Weight-bearing activities that get harder over time. The surgeon works with an anesthesiologist, nurses and other healthcare providers. Hi Laura i had ankle ligament reconstruction ( brostrom gould procedure ) in July last year i was in a cast for 6 weeks(non weight bearing) then a boot for another 4 weeks first two weeks i used crutches then i was able to weight bear from my boot after 4 weeks i progressed to an ankle brace all the while having physio which started when i came out of the cast i was back at work and walking 4 . If you have a foot or ankle abnormality that isnt responding to more conservative approaches, reconstructive surgery might be right for you. In general, when motion of the ankle is preserved in an ankle replacement, the surrounding joints are protected from increased wear, which is especially important if there is already arthritis in these neighboring joints. Ankle replacement is not the only type of ankle surgery. Advertising on our site helps support our mission. To schedule a consultation, schedule an appointment online or by phone at Podiatry Hotline Foot & Ankle today. Reconstructive foot and ankle surgery is a highly specialized field of medicine that focuses on the surgical reconstruction of the musculoskeletal system, or the bones, joints, ligaments, tendons, muscles and related structures of arteries and nerves. You may begin driving at 6-8 weeks if surgery on right foot, automatic transmission only for left post op; Use a lace up ankle brace for any cutting sports or uneven surfaces for 6 months following surgery; At 8 to 12 weeks post-op you may begin swimming and gently begin an elliptical trainer; progress to advanced strengthening as tolerated Getting reconstructive surgery can realign connective tissue or bones that . There can also be subsidence (implant sinks down into the bone), the wrong implant size used, and/or excessive wear on any part . Insert the pieces and check range of motion in the joint. Schedule an appointment with one of our exceptional foot and ankle specialists by contacting our office in: Toms River at 732-505-4500. Warts occur more often in children than adults, and they can be painful and difficult to treat. Contact us or call his office today at (602) 955-5700 to schedule an appointment. Ankle replacement is not the best option for every person with ankle arthritis. Together, the team will: Total ankle replacement is typically an inpatient procedure, but you usually only spend one night in the hospital after surgery. amputation and limb salvage; implant arthroplasty; joint replacement; reconstructive foot and ankle surgery; soft-tissue repair/trauma. Epub 2019 Jan 30. Methods: Ankle fusion In this procedure, the surgeon roughens the ends of the damaged bones and then fastens them together with metal plates and screws. Range of movement and strengthening exercises for the unaffected ankle. 2017 May 18;12(1):76. doi: 10.1186/s13018-017-0576-1. Get useful, helpful and relevant health + wellness information. Patients benefit from a multidisciplinary approach with rheumatologists, sports . Level IV. Reconstructive techniques included skin grafts, dermal substitutes, locoregional flaps, and free tissue transfer. Discover more about how getting ankle reconstructive surgery can bring your ankle to a new stage of complete healing. Arthritis Foundation. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847308/) Reumatologia. You can also avoid high-impact activities that put too much strain on the joint. Often, ankle replacement is preferable to ankle fusion (arthrodesis). In 2017-18, Dr. Williams served as president of the American Board of Foot and Ankle Surgery. Strict elevation for many days after the procedure is necessary to The incision may be curved following the course of the peroneal tendons. In this scenario, holes are drilled into the bones and the harvested tendon is laced through the holes to create the new ligament (2). Flat feet, arthritis, and other conditions can cause your bones to move into the wrong places. Total ankle replacement, or ankle arthroplasty, treats ankle arthritis. Hammertoes, a condition that causes pain and overly flexible toes, can eventually cause your toes to become locked. This ground . Styf J Early range of motion training after ligament reconstruction of the ankle joint. Ankle replacement is not recommended if you have severe deformity, dead bone in the talus (the bottom bone of the ankle joint), or bone too soft to support the joint. A retrospective review was conducted of patients requiring soft-tissue reconstruction following TAA wound complications. An incision will be made on the outside of the ankle behind the ankle bone. 2013 Nov;34(11):1560-8. doi: 10.1177/1071100713495380. the deformity is corrected. Ankle replacement is much different than knee or hip. Northstate Will Get You Back on Your Feet. Ankle ligament reconstruction consists in reconstructing the anterior talofibular ligament and the calcaneofibular ligament of the external lateral ligament. Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, Royal National Orthopaedic Hospital NHS Trust - Outpatient Assessment Centre, Hiring facilities for conferences and training, Sport, Exercise and Musculoskeletal Medicine, PATHPOINT, an electronic referral and pathway management system, A Patient's Guide To Ankle And Hindfoot Arthrodesis Or Ankle And Hindfoot Fusion, A Patient's Guide To Bunions (Hallux Valgus) And Lesser Toe Deformities, A Patient's Guide To Inter Digital Neuralgia (Morton's Neuroma), A Patient's Guide to Preparing For Foot and Ankle Surgery, A Patient's Guide to Total Ankle Replacement, A Patients Guide To Lateral Ligament Reconstruction Of The Ankle, A Patients Guide To Post-Operative Advice Following Pes Cavus, A Patients Guide To Adult Acquired Flatfoot Deformity, A Patient's Guide to Radial Extracorporeal Shockwave Therapy (ESWT), A Patient's Guide To Arthritis Of The Big Toe With Discussion On Cheilectomy And Fusion, Flat feet deformity and tibialis posterior dysfunction, Forefoot deformity (including bunions, arthritis and lesser toes), Neuromuscular feet (including CharcotMarie Tooth), Secure, streamlined, electronic referral forms, Receive updates and notifications in real time, Increased visibility of all referrals and triage outcomes, Click the drop down list of referral pathway forms and select ", Fill in all fields of theTertiary Foot and Ankle Reconstruction unit referralform and click ". Rest and recovery from surgery Control swelling and pain Increase ADL (Activities of daily living) Guidelines PWB (partial weight bearing) to FWB (full weight bearing) in cast. Before recommending surgery, our podiatrists first assess or attempt less invasive solutions, including. Conclusion: The prognosis of complicated TAA requiring soft-tissue reconstruction remains poor, especially in patients who present with infected joints. Referrals are accepted from GPs and consultants. Federal government websites often end in .gov or .mil. PMC You will not need a brace after six months. . If ankle replacement isnt the right procedure for you, other possibilities include ankle fusion or ankle arthroscopy. All our consultants provide expert care for the following conditions: The Royal National Orthopaedic Hospital NHS Trust (RNOH) receives clinical referrals to our specialist, tertiary neuro-musculoskeletal services from primary, secondary, and tertiary care institutions regarding both NHS and private patients. Epub 2015 Mar 31. Ankle ligament reconstruction (ALR) typically is an outpatient surgery, meaning you can go home the same day as the procedure. A mild to moderate ankle sprain will almost always require a compression wrap and brace. When you're suffering from significant foot and ankle problems, it impacts more than just your ability to walk. Ankle ligament reconstruction or ankle ligament plastic surgery is a well tested procedure with a very reliable outcome. To schedule a consultation. and transmitted securely. Without slowing or stopping progression, ankle arthritis can take over your life. Patients that have arthritis (or fusions) involving the joints adjacent to the ankle joint may also benefit from an ankle replacement, because it can help preserve accommodative motion so as not to further overload these other diseased areas. Gentle mobilisations to restore movement when the swelling has subsided. To schedule surgery, please contact us at 952-224-8500 four weeks in advance to best ensure your desired surgery date. Call the office immediately if you have concerns about your foot. Physical therapy after surgery can help you regain mobility in your ankle. Arthritis eventually leads to loss of cartilage, pain, and/or deformity. The content is not intended to substitute The cartilage becomes thinner and rougher. What to Expect. Gentle soft tissue massage around the lower leg and ankle. In this surgery, your doctor will tighten the ligaments that keep your ankle stable. To strengthen them, our podiatrists use reconstructive techniques to reinforce those joints using plates and screws. To give your feedback, or for any further questions, please email the relevant contact below: PATHPOINT Technical Support:support@openmedical.co.uk Evaluation and management of the painful total ankle arthroplasty. of the artificial parts. Content. It's also known as the Brostrom procedure. Be sure to check your skin frequently for abnormal color changes. This loss of flexibility can affect the way you walk or cause arthritis to develop in other joints. 3 Early intervention to achieve soft-tissue coverage is crucial in maximizing salvage rates in the setting of complicated and infected TAA. 2016 May;37(5):522-7. doi: 10.1177/1071100715624206. Almost all ankle sprains can be treated without surgery. or by phone at Podiatry Hotline Foot & Ankle today. Typically, the procedure takes place under general anesthesia. Foot Ankle Int. Complete recovery may take up to a year, and physical therapy may be necessary. Clipboard, Search History, and several other advanced features are temporarily unavailable. If your ankle is healing well, your. Ankle replacement fact #3: Full recovery can take up to six months. Gait training to help you stand and walk. However, you should expect time on crutches followed by a period wearing a cast or walking boot. This timeline is a general guideline. During the healing process, the damaged bones fuse together into one combined bone. The surgery is performed under a general anesthetic or spinal block and takes 1-2 hours. Dr. control swelling and improve wound healing. Other surgeries may be performed at the same time, most often arthroscopic surgery of the ankle joint. Weightbearing Pus or a lot of blood draining from the incision. An alternative to total ankle replacement is ankle fusion surgery. Some people do need a second ankle surgery. Choosing the right team to get you back to 100% is an important decision and not one to take lightly. and space open menus and escape closes them as well. One common cause is your genetics. Your Achilles tendon can become contracted from chronic tendinitis and additional foot or ankle problems. Knowing what to expect can help you prepare for challenges and make plans for recovery. Doctors typically try conservative treatment while treating stretched or partially torn sprained ankles, but resort to surgery in cases of complete or severe tears. Epub 2015 Dec 19. It is a good choice in permanently treating various foot disorders. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. Our podiatrists always recommend the most. The number of ankle replacements The Foot and Ankle Reconstruction Unit at the RNOH is led by recognised consultants with international reputation, each with specialised expertise in the management of a wide range of foot and ankle problems including sports injuries, arthritis and deformity. Posterior Tibial Tendon Reconstruction General Recovery Timeline. Total Ankle Replacement (Arthroplasty). Remove the degenerated (worn-down) bone and cartilage. Progressive arthritis can lead to bone cysts and the formation of bone spurs (osteophytes). Gross CE, Garcia R, Adams SB, DeOrio JK, Easley ME, Nunley JA 2nd. Forked River at 609-693-3202. PATHPOINToffers significant benefits to referrers: To submit a referral to the Foot and Ankle Reconstruction unitplease access the'PATHPOINT' link(within yourSecure hospital network) and follow the steps below: NB: You will receive notification emails to your NHS email account from PATHPOINT from theFoot and Ankle Reconstruction unitwith updates about the status of your referral if further information is required. Administration team, 0203 947 0050 Ankle arthritis is a common complaint. Healthcare providers consider these treatments conservative therapies. They may include medications, physical therapy or orthotics (special shoe inserts or devices, like braces, to relieve pain). It replaces damaged parts of the ankle with prosthetics (plastic or metal parts). Reconstructive surgery repositions your bones back into their proper location. Cutting-edge treatments can dramatically reduce your symptoms and bring back your active lifestyle. The https:// ensures that you are connecting to the An incision is made on the lateral side of the ankle. American Orthopaedic Foot & Ankle Society, Post-surgery X-ray of a total ankle replacement, The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. To schedule with a podiatrist skilled in this area or if you have questions about arthroscopic ankle ligament reconstruction for the treatment of your unstable ankle after a sprain please contact us. Toms River West at 732-240-5677. The tendon can be from the patient or from a cadaver. Total ankle arthroplasty versus ankle arthrodesis-a comparison of outcomes over the last decade. Accessibility Out podiatrists create tiny cuts in your tendon during reconstructive surgery, which aids it in stretching out to its former capacities. Fusion surgery permanently joins the ankle bones together, limiting range of motion. HHS Vulnerability Disclosure, Help With time and rehabilitation, many ankle injuries heal under conservative care, but sometimes, this treatment isnt enough. Talk to your provider about which procedure ankle replacement or ankle fusion best fits your unique needs. The purpose of the current study is to review patient outcomes . For all of your foot and ankle concerns, please consider Dr. Jeffrey E. McAlister, FACFAS, of Arcadia Orthopedics and Sports Medicine as your provider. Outcomes of Salvage Arthrodesis and Arthroplasty for Failed Osteochondral Allograft Transplantation of the Ankle. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958283/), Visitation, mask requirements and COVID-19 information. In a total ankle replacement, the ankle joint is removed and replaced with an artificial implant made of metal and plastic. J Am Acad Orthop Surg. Ankle reconstruction may be done under a combination of general, regional or local anaesthesia. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847308/). Six months: Your ankle will be recovered from surgery by six months. During an ankle replacement procedure, an orthopedic surgeon (a specialist in the joints and bones) removes the damaged ends of the tibia and talus bones and replaces them with an artificial metal covering. If you have questions after surgery, please contact my office and ask for my medical assistant. Ultrasound to facilitate the ligament's healing. It can be frustrating when it feels like youve done everything you can to heal your ankle, and nothing you do seems to be bringing the improvement necessary for a full recovery. Talk to members of your care team about how to get ready for the procedure. Up and Down arrows will open main level menus and toggle through sub tier links. Around 12 weeks after surgery, patients may be able to wear normal shoes using a foot or ankle brace. replacement get results at least as good as their hip and knee counterparts. Frequently, it is an outpatient surgery, so you can go home the same day. If you have a soft, smooth-looking lump on your foot that moves around when you touch it, you could have an uncomfortable soft tissue mass called a ganglion cyst. The .gov means its official. Over time, the plastic and metal parts in the joint replacement may wear out. I can't use my right foot for the next 4-6 weeks but should be able to exercise, swim, and live pain free after that. Severe foot conditions often require long-term care and rehabilitation. See the full list ofPatient Information Guides. When conservative therapiessuch as ankle braces, cushioned insoles, anti-inflammatory drugs, cortisone injections, and physical therapyfail to provide relief, surgery may . Total versus partial joint replacement: what are the differences? Its important to go into surgery and rehabilitation (recovery) with realistic expectations. Reconstructive surgery is a surgical procedure that fixes any structural problems that appear in your ankle. Dr. Clanton is chief of the Foot and Ankle section at the Steadman Clinic in Vail, Colorado, and is a past president of the AOFAS. 720 Florsheim Drive Libertyville, IL 60048 Keep reading to learn more about how ganglion cysts can affect your feet. Podiatry Hotline Foot & Ankle, Mission Viejo, CA. (https://orthoinfo.aaos.org/en/treatment/ortho-pinion-total-vs-partial-joint-replacement/), (https://www.footcaremd.org/conditions-treatments/ankle/total-ankle-replacement), (https://www.arthritis.org/health-wellness/treatment/joint-surgery/preplanning/surgery-options-for-ankle-arthritis). usually begins a few weeks after surgery if X-rays show good healing. knee replacement. procedures and will work with you to determine the surgery that best fits your lifestyle and treatment goals. This surgery involves removing the inflamed cartilage and surgically joining two or more ankle bones together. Our podiatrists always recommend the most minimally invasive surgical procedure available to ensure reduced recovery time and pain. We are also using 3D printing to create replacements for foot and ankle bones when avascular necrosis is present. We are your trusted New Jersey provider of podiatry care in Ocean and Burlington counties with six convenient locations to serve you. Before Sometimes, though, severe ankle arthritis requires more targeted treatment. Surgery to treat ankle arthritis may provide an option when other therapies dont work. When your ankle has structural abnormalities that cant be fixed by nonsurgical methods, board-certified podiatrist. Left and right arrows move across top level links and expand / close menus in sub levels. To the best of our knowledge, the above technique is the first to allow for retention of a stable talar implant while still allowing for the use of . They then cut the bone and place the metal and plastic components that recreate the ankle joint. Frequently, this procedure is performed once other non-surgical treatments, including physiotherapy, have proved ineffective. Total ankle replacement, also known as total ankle arthroplasty, is a surgical procedure that foot and ankle orthopaedic surgeons use to treat ankle arthritis. Also make sure to follow all medical instructions. Next, your surgeon will remove the damaged parts of your tibia and talus bones. Surgery Options for Ankle Arthritis. Very young, active patients are usually best served with a well performed ankle fusion. Non-surgical treatment for an ankle fracture, on the other hand, will either require a brace or a cast in severe circumstances. At San Antonio Podiatry, we take a non-invasive approach to foot and ankle care, leading us to seek out alternative methods of treatment before prescribing surgery. Be sure to make a plan for accomplishing daily tasks. Plan ahead to have someone help you with household chores, driving . In a total ankle replacement, the ankle joint is removed and replaced with an artificial implant made of metal and plastic. Fortunately, they are treatable and dont usually cause serious problems. We do not endorse non-Cleveland Clinic products or services. The best outcomes for this procedure are achieved by expert orthopaedic foot and ankle surgeons. The surgery to be performed depends on several factors such as the age of the individual, type of foot disorder, and severity and duration of the symptoms. sharing sensitive information, make sure youre on a federal These are some of the types of minimally invasive surgeries available to restore movement in your hammertoes. Rest, ice, elevation and other basic treatments can usually relieve joint stiffness and pain. NCI CPTC Antibody Characterization Program. If you need medical advice, use the "Find a Surgeon" search to locate a foot and ankle orthopaedic surgeon in your area. An official website of the United States government. An ankle replacement helps you regain strength and stability in your ankle. After the surgical wounds are healed, some foot and ankle orthopaedic surgeons will allow the patient to start working on gentle range-of-motion activities even if they are non-weightbearing. They will approach the ankle from the front or the side, depending on the It is usually a day procedure, meaning you can go home on the same day as the surgery. Tips for Better Recovery You will have to undergo a physical therapy program after the healing period to strengthen the ankle, maintain your normal gait, regain motion in the ankle, and improve ankle proprioception. Charcot foot is a progressive condition that involves the gradual weakening of bones, joints, and soft tissues of the foot or ankle. Krause FG, Pfander G, Henning J, Shafighi M, Weber M. Foot Ankle Int. diagnoses of a lateral ankle ligament reconstruction. available to ensure reduced recovery time and pain. The first text of its kind, Clinical Application of 3D Printing in Foot and Ankle Surgery provides comprehensive, in-depth operative coverage as well as opinions and case examples from surgeons who are currently using 3D printing in their practices. Common complications with ankle joint replacement include loosening of the implant, impingement (pinching), and malalignment. Your post-operative course . Understanding ankle reconstructive surgery. during activity. Sometimes additional procedures will have to be done at the same time to ensure the foot and ankle are properly aligned and Total ankle replacement has become a viable alternative to ankle arthrodesis in the surgical management of advanced ankle arthritis. It may not provide a good fit for you if your ankles are severely deformed or unstable. Duke foot and ankle surgeons and plastic surgeons perform complex procedures that restore blood supply to the ankle bone in the face of serious ankle trauma, fractures, and joint damage. American Orthopaedic Foot & Ankle Society. What is ankle ligament reconstruction surgery? This extra care can ensure your ankle heals properly. Last reviewed by a Cleveland Clinic medical professional on 05/24/2021. Grade 3 sprains in the foot and ankle. Some patients may be candidates for outpatient total ankle replacement surgery. Recovery. Back into a cast for another 4 weeks Education: surgery, healing time, anatomy, rehab phases Encourage ADL It can be frustrating when it feels like youve done everything you can to heal your ankle, and nothing you do seems to be bringing the improvement necessary for a full recovery. The Foot and Ankle Reconstruction Unit at the RNOH is led by recognised consultants with international reputation, each with specialised expertise in the management of a wide range of foot and ankle problems including sports injuries, arthritis and deformity. The aim of an ankle replacement is to eradicate persistent pain and preserve ankle mobility. Keywords: Just as with artificial knee and hip replacements, ankle replacements may have problems that happen even years after the initial surgery because there are moving, artificial parts. Ankle reconstruction can reverse chronic ankle instability and prevent further deterioration of the ankle joint. Loosening of replacement parts, requiring a procedure to repair. You can preserve your prosthetic ankle by maintaining a healthy body weight. Reconstructive foot and ankle surgery is performed to correct birth . Most people use crutches or a walker while wearing a splint or cast. When this is not possible a tendon from a different site is harvested and used to construct a new ligament. Reconstructive surgery might also be the perfect solution for you if your ankle or foot injury is significantly impeding your quality of life. You might be a good reconstructive surgery candidate if you have a condition that isnt responsive to nonsurgical methods of treatment. Total ankle replacement: why, when and how? A foot and ankle orthopaedic surgeon should be seen for management Successful prosthetic salvage was associated with shorter time intervals between wound diagnosis and index reconstructive surgical intervention (median: 20 days for salvage vs 804 days for failure; P = .014). Epub 2013 Jun 18. Ankle fusion is usually very successful in relieving arthritis pain. In a total ankle replacement, the patient usually is placed under general anesthesia or spinal anesthesia plus relaxant. Stretches for range of motion and flexibility. Please enable it to take advantage of the complete set of features! Foot reconstruction is a surgery performed to correct the anatomy of the foot and restore function lost due to trauma, birth defects, infection and other illnesses. The ligaments in your foot and ankle consist of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). MeSH However, sometimes surgery is the best option for restoring full mobility and providing a complete recovery. A history of deep infections of the ankle, significantly abnormal nerve function or Level of evidence: Enter Patient demographics, history, microbiological data, reconstructive approach, and outcomes data were collected. Ankle replacement is performed either under general anesthesia or nerve block. In these cases, an ankle fusion may be a better option for pain relief. The procedure is usually performed in an inpatient setting, with the patient spending up to several nights in the hospital. Its also called ankle arthroplasty. This site needs JavaScript to work properly. But it also reduces the ankle's motion. External fixation is a technique used by our podiatrists to keep your foot stable while youre recovering from some ankle reconstructive surgeries. Your surgeon will make an incision in your ankle to access the affected joint. 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. A polyethylene component is also secured in between these two structures to help the new joint endings move smoothly on one another. accommodation with medical care - from 53 per night Testimonials Michael, West Midlands, UK Ankle arthritis is a condition in which the cartilage of the ankle joint deteriorates, causing pain and restricting movement. This operation can relieve pain and maintain motion in the arthritic ankle joint and is an alternative to arthrodesis (ankle fusion) which can relieve pain but eliminates motion in the joint. If you're suffering from chronic instability, you might benefit from ankle ligament reconstruction surgery. With over 20 years of experience, performing thousands of ankle fusions, triple arthrodeses, subtalar fusions and over 300 total ankle replacements, Florida Orthopaedic Institute surgeons are leaders in the field. Surgery options include repair or reconstruction of the damaged ligaments. Youll have trouble walking after your ankle replacement. The site navigation utilizes arrow, enter, escape, and space bar key commands. Although rare, ankle surgery can lead to complications. Newer implant designs and improved surgical techniques constantly are evolving with the promise and goal of helping patients with an ankle If you are in severe pain or find you have difficulty walking or doing activities you used to enjoy, reconstructive surgery can restore your mobility and free you of chronic pain. Ankle fusion or ankle replacement may be recommended when end-stage arthritis is diagnosed, the ankle cartilage has worn away, and bone painfully rubs against bone. The surgeon just called the afternoon after surgery and said the foot was more messy than he thought. Your ankle is a hinge joint that allows motion up and down, and from side to side. Another possible complication is the failure of the ankle implant to heal into the bone. Foot and Ankle Reconstruction Surgery - San Antonio, TX. Our podiatrists attach your foot to an external form of support using bolts or wires. Background: If you have experienced serious ankle trauma or have a condition like tarsal tunnel syndrome, flat feet, rheumatoid arthritis, or Charcot deformity that hasnt been responsive to other treatment, our team might recommend reconstructive surgery to restore your ankle. 8600 Rockville Pike Contact a healthcare provider if you experience any of the following complications after surgery: You can reduce your risk of complications after surgery by eating a healthy diet and not smoking. Recovery is 8-12 weeks when combined with a physical therapy program. He also serves on the board of directors for the American College of Foot and Ankle Surgeons. To diagnose a sprained ankle, a physician orders diagnostic testing and performs a physical exam. Sutures removed @ 10 -16 days. Taping also adds gentle pressure to the area to help reduce the swelling. Recovery times vary depending on the surgery. 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