Total ankle replacement, medically termed as total ankle arthroplasty, is a surgical intervention employed by Dr. Kamel to address ankle arthritis. Arthritis in the ankle can arise from natural degeneration associated with aging or from trauma such as ankle fractures or dislocations. Over time, arthritis leads to cartilage loss, pain, and potential deformities.
In total ankle replacement surgery, the damaged ankle joint is replaced with an artificial implant crafted from metal and plastic components. The primary objective of ankle replacement is to alleviate pain while preserving ankle motion, thereby enhancing mobility and functionality for the patient.
An alternative to total ankle replacement is ankle fusion surgery, which involves fusing the bones of the ankle joint together. Both procedures have their merits, and the choice between them depends on various factors such as the patient's lifestyle, treatment goals, and the severity of the condition. Dr. Kamel will assess your individual case and guide you in selecting the most appropriate surgical option.
Diagnosis
If conservative treatments like medication, physical therapy, bracing, and injections fail to provide relief from ankle pain and functional limitations caused by arthritis, Dr. Kamel may recommend total ankle replacement. However, certain factors such as severe deformities, bone abnormalities, or a history of infections may preclude you from being a suitable candidate for ankle replacement.
Surgical Technique
Total ankle replacement surgery is typically performed under general anesthesia or a nerve block. Dr. Kamel accesses the ankle joint through an incision on the front or side of the ankle, depending on the chosen implant type. The damaged joint is removed, and the artificial components are securely placed to recreate the joint. Additional procedures may be performed simultaneously to correct deformities and ensure proper alignment of the foot and ankle.
Recovery
After surgery, patients undergo a period of non-weight bearing to allow the implants to heal properly. This phase may involve wearing a cast or boot and strict elevation to control swelling. Rehabilitation and physical therapy are essential components of the recovery process and focus on restoring strength, flexibility, and range of motion. Weight bearing is gradually reintroduced based on X-ray assessments of healing.
Risks and Complications
Potential risks and complications associated with total ankle replacement surgery include infection, nerve or blood vessel injury, wound healing issues, and implant failure. Patients with underlying health conditions such as diabetes or rheumatoid arthritis may face an increased risk of complications. Additionally, long-term concerns may include implant loosening or wear, necessitating further surgical interventions.
Total ankle replacement surgery offers a promising solution for individuals suffering from debilitating ankle arthritis, aiming to restore mobility and alleviate pain. By understanding the procedure, potential risks, and recovery process, patients can make informed decisions in collaboration with their healthcare providers, paving the way for improved quality of life and enhanced ankle function.
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