Ankle Replacement in Houston, TX
TOTAL ANKLE REPLACEMENT WITH IMPLANT
Dr. Mark Moss has stated that:
" It is not too often in ones career where a truly unique technology comes available
and can dramatically change the quality of life of our patients ".
The next generation Total Ankle Replacement is one of those technologies that has proven itself to be worthy of that praise.
Total Ankle Replacement with Implant has been an option for quite some time. However, with the newer generation implants available on the market today, the long term outcomes are quite stunning . In the past, the gold standard procedure for severe ankle arthritis has been the Ankle Arthrodesis "Fusion ". With this procedure, we essentially mend "fuse" the leg bone to the ankle bone with different types of hardware (screws, plates, halo frames, etc.) to eliminate the pain when walking The problem with this approach is that we lose the motion in the ankle joint and cause increased joint pressures on the adjacent joints thus increasing the risk of arthritis at those locations in the future. Additionally, the ankle arthrodesis can reduce the amount and quality of function for the patient. This procedure is still considered a great procedure in those patients that are not canidates for the ankle replacement.
With our newer generation ankle implants, we are now able to offer a replacement of the ankle joint (similar to those of the knees and hips) that allows for continual motion, loss of pain and predictable long term outcomes. The success rates are quite excellent and exciting for patients!
The typical ankle replacement consists of two smooth metal surfaces that reside on either side of the joint with a high molecular weight polyethelene spacer (medical-grade plastic) in between. This constuct allows for smooth motion, loss of pain, maintenance of lower impact function, and maintenance of quality of life.
Even though we are able to offer this technique to our patients with severe debilitating arthritis, not all patients are canidates for this type of surgery and may still need an ankle arthrodesis. It should also be noted that there are many great conservative options for ankle arthritis that are non-surgical and less invasive.
If you would like to be evaluated by Dr. Mark Moss at Coastal Foot and Ankle Associates to see if you are a candidate for an ankle replacement, please call our Houston, TX office for your appointment at 281-485-2988!
Below are some before and after pictures of our actual patients that have received ankle replacements by Dr. Moss. This site will continually be updated for additional information and pictures in the future.
TOTAL ANKLE REPLACEMENT POST OPERATIVE PROTOCOL
Weeks 0-2 -
- Non-weightbearing in splint or cast
- Strict Elevation above heart level at all times except for food and restroom breaks
- Ice to anterior ankle and behind knee
Week 2 -
- sutures removed (unless skin/wound healing complications)
- patient placed into boot or cast (depending on quality of bone during surgery)
- if in boot, partial weight bearing with use of walker or crutches as defined by Dr. Moss
- If in cast, non weight bearing till 6 weeks out from surgery
- continue elevation and Ice to posterior knee for edema reduction
Weeks 6-10 -
- Gradually transfer from cast to boot to tennis shoes as defined by Dr. Moss
- Start Active Physical therapy for range of motion, strengthening, reduction of swelling, adhesiolysis of scar and mobilization of tissues
- Out of boot into tennis shoes usually by week 8-9
- Circular motion exercises (stationary bike, etc)
Weeks 10-16 -
- Progressive strengthening, joint mobilization, gait training, proprioceptive exercises, core strengthening
- Progressive training on steps and heel raises
- Balance and proprioception training
Weeks 16+ -
- Return to normal activities !!!
See if you are a candidate for an ankle replacement in Houston TX or the surrounding areas, by calling our Southeast Houston office today at (281) 484-2400