I am a 37 year old woman who had a traumatic injury at age 11 with complete fracture of all bones in the ankle. I had hardware put in and removed a year or so later. I have had trouble over the last couple of years with increasing pain and locking of the joint. Last month I had bone chips removed and my surgeon informed me that I have severe arthritis in one joint and moderate in all the other joints. He is suggesting that I may need ankle replacement or fusion soon. The information available is not plentiful and I wonder if anyone in Canada has had an ankle replacement, and if so, how long did you wait, who did it and was it successful. I would be interested in hearing from anyone who has had this done regardless of where you are from and what your experience was. Would you recommend it? Thanks to anyone who can provide some information.
I am not so sure about Canada but I can tell you my experience in the US. I have end-stage arthritis in rt. ankle due to traumatic break 6 years ago. I can barely walk and finally went to surgeon at Rothman Institute in Phila. evidently, I am not a candidate for replacement. My surgeon's criteria is over 65 y.o. and under 200 lbs. and with consideration to how much damage is done. If too much damage they fear the result will not be positive as from what I have read the more mobility before replacement the more positive the outcome. I am 50 y.o. and he told me that the average life of a replacement is 110 years. Their experience with follow up replacements is limited or none. Good luck with your search!
Yes, does anyone know the cost of an ankle replacement. I am only 25 and thus most doctors are refusing to give me one as well as my insurance. If I want a replacement I am going to need to pay out of pocket with a Dr. who is comfortable doing it at my age. So if anyone can comment on the cost as well as suggest doctors in the California area who perform replacements on younger patients, that would be great.
Try Dr. Daniel Lee, a podiatric foot and ankle surgeon at the UC San Diego Medical Center - he has developed a new procedure that injects a "biologic" material which is similar to the collagen in human cartilage and then it is shaped around the joint''s specific contours. No metal or polyethylene is involved. Effectively the cartilage - soft tissue - is replaced instead of the joint.
Hope this helps.
Hi I recently saw Dr Timothy Daniels at St Michaels Hospital in Toronto and he will be doing an ankle replacement on me soon....and I am TERRIFIED !!!!
I am 76 yrs old woman and 15 yrs ago I fell off my bike , I broke Tibia, Fibular and crushed my ankle. My leg healed but the ankle always gave me problems, After 2 yrs they removed the hardware but the ankle continued to have pain. Now there is no cartledge so its bone rubbing against bone...very painful. I am only able to walk/stand on it for 2-3 hrs after which I need to keep off of it for the remainder of the day. I,ve been living this way for years. I nervous about using the crutches and have very little support from my family, so I will be on my own before and after the surgery..
If anyone out there can give me any advise. I would greatly appreciate it
Had Total Ankle Replacement Surgery On June 15,2010
I just had ankle replacement surgery on June 14,2010 by Dr Rees in Saskatoon SK,Canada. I live in Manitoba but replacement surgery in not done in Winnipeg. It took 2hrs,5min. Done on a Monday left hospital on Thursday. Wear a large boot 24 hrs a day. Follow visit with surgeon on July 15 which will just over 4 wks. Will know more once I see Dr Rees. I will accept any comments etc.
I'm in severe pain in my left ankle due to a bad break 4 years ago. I need an ankle fusion but i want an ankle replacement. I'm waiting to discuss again with the surgeon. I'm 48 years old. How is your recovery? Would you recommend the surgery? How long is the rehab period?
hey, everyone...so far, so good. I had my ankle replacement on Oct 1,2010 in Saskatoon, and have had a good recovery so far. It still swells a bit, but the pain is nothing compared to what I had pre-op. I see my surgeon again at 8 weeks-until then I'm still non-weight bearing and wearing a boot-immobilizer 24/7! For those who have had the surgery, how're you doing, what can I expect next?
For those of you considering it, get your home and body prepared first! Weight training for your upper body will make using a walker or crutches easier for you (you'll really need strong arms and shoulders), practice with the mobility aides before you have the surgery, and make sure that you can get around your house-loose the throw rugs and carpets in hallways, buy a tub stool and a flexible shower hose/head for the tub...I found that an office chair with wheels is my salvation! Arrange for your best friends to visit and accept their help with housework and shopping. Really,you can't drive for quite some time, so stock up if you can! I'm lucky that I have a daughter still living at home...good luck all.
I've been back to work on shortened hours since March. I still have pain and redness in my ankle, but I'm walking much better now and am getting much stronger. Now, I have to work up the courage to have a knee replacement-on the other side! Yikes. Overall, I'd do it again: I should be able to continue working now until my early retirement in 2017, or stay working longer if my joints cooperate! How about you?
I found this page searching for information on ankle replacement surgery. I will have my surgery on Sept 8 2011. Dr. Thiessen will be doing the surgery at City Hospital in Saskatoon.
Thanks for all of you that have shared your experience. Any updates on recovery?
Hey...I commend you on your choice...Trent is a great guy and an excellent surgeon. His partner, Huw Reese is wonderful, too...How do I know? I not only have worked with them but Dr. Thiessen did my ankle replacement almost a year ago. I'm back to work and, though I still get sore, it's so much better that I'd certainly have it again. Good luck and keep in touch. T (Saskatoon)
I did not get much information from them about the surgery. I called to verify that they received my info regarding the scheduled surgery. The receptionist indicated she would send some information but I have received none.
Is the procedure they use the STAR (Scandinavian Total Ankle Replacement)?
Just to get started, go to this website: bcfootandankle.com for some excellent information as well as post-op physio and expectations, etc. It was a great help to me. Also, see a physiotherapist before your operation to learn how to use crutches or walker before your surgery, then prep your home: get a hand-held shower attachment and a shower stool because you'll be in a cast for at least two weeks and won't be able to weightbear at all for at least 8 weeks! I used an office chair on wheels for mobility in the house-but remove all of the area rugs or other floor obstacles. If it is your right foot, you won't be able to drive until the boot is off, so make sure you have friends/family lined up to help-and let them! These are the things that gave me most grief...and that were easiest to fix once I thought about it. Be nice to yourself and take your pain killers, use ice and elevation regularly and take it slow...eat well and be patient with yourself. Healing is hard business, so you'll need lots of rest.....hmmm, anything else, just send out a line on this site or call "the Healthline" the number is on the phonebook. Good luck, Stan, you'll love it in six months! Tina
I had my surgery Thursday Sept 8 at 8 AM. That evening I was feeling great and figured this will be easy.
Friday I was okay until about 7 PM, I suddenly felt tired and had some discomfort. The nursing staff gave me some pain killers and I was able to sleep well through the night which I did not the first night. After that I doing better each day.
I was released from the hospital Sunday the 11th. I am at home and gaining confidence in what I can do and gaining strength.
I am amazed at how little discomfort I feel this early into the healing process.
Stumblebum gave some good advice.
Anyone questioning whether to proceed with this surgery do not delay and prolong your pain.
My recovery is going better then I anticipated!
Dr Thiessen informed me after the surgery that there was more damage to the bone in the joint area that required some reconstruction during surgery and more screws.
My cast was removed Oct 18. The Xrays that were taken indicated that the healing is going as expected. I was given a walking boot and instructed to use it. I am to exercise my foot rotating the ankle as much as possible. Dr Thiessen said he wanted to see me in 6 weeks walking in my shoes.
What amazes me is the lack of pain since the surgery. Any discomfort I feel is due to swelling. I used some hydromorphone the first few evenings to help me sleep. Since then I use Tylenol Xstrength at night that helps me sleep and that is all.
Since I started walking it is the sole of my foot that bothers me more then anything else.
Metal, your question about how I went about getting this surgery done? I went through my family Dr. I was referred to Dr. Thiessen about 3 years ago and then this summer when my ankle became more of an issue. When Dr. Thiessen examined me in June he said my ankle was creaking pretty bad and said he could work me in pretty soon. I received a letter from his office in July for the surgery Sept 8.
My experience is very positive at this point. There are complaints about wait time with our health system but I cannot say that with my experience.
Hope this helps.
Stan from Rosthern
I have been advised that I require an ankle replacement, however, 15 years ago a dr recommended I have my ankle fused, I refused - Hey, I'm a woman, I can wear heels, who needs fusion! Now I am waiting for an appointment with Dr. Hammond in Winnipeg, however, I do not believe he does many ankle replacements. I will see him however, I am patient and I have lots of great high heels - long walks and golfing or power shopping are out of the question but overall I can wait. I read in an airline magazine last fall one of the top 6 areas of technological advancement in the next 5 years is ANKLE REPLACEMENTS - maybe we should all grin and bear it and see what the future holds!
I am new here. I had a severe ankle break in 1977. I am now 64. I have struggled for years with my ankle and had many different surgeries, the last in the mid 90's. My ankle has been getting worse until I had surgery arthroscopic for removal of, spurs, chips and a few screws. My doctor, Dr. Calvert, does not recommend replacement or fusion until it is last resort. He used something similar to Dr. Lees of San Diego to try grow a layer of tissue on the joint as I have an area about the size of a Toonie that is bone on bone, yesterday.
I live in Ladner BC and he is located in Richmond. He does replacements, fusions and reconstuction. He is a young doctor with a very open approach but he is not to quick to fuse or replace.
I will be two weeks no weight bearing. I am allowed to flex my foot although it is heavily bandaged. Minor after surgery pain so far.
Keep up the good communication as it will help all of us.
Bigwayner, It will be interesting to hear how you will be doing after this procedure.
It is 9 weeks after my surgery, 3 weeks after my cast was removed. I am walking in shoes and flexing my ankle more each day. The swelling is going down daily. I put ice on my foot every night when I go to bed. I am not taking any pain killers of any kind including Tylenol.
After a day when I have spent more time on my feet my heel will hurt. I think the reason is that I do not have full strength in my calf yet and I walk on my heel more then I should.
I am still amazed by this procedure and my recovery.
I hope to report back after I see the surgeon the end of this month.
Stan from Rosthern
Hello, i had ankle fusion,three bones,twelve years ago. I just had bone spurs removed and are now recovering from this surgery. I have pain everyday and my surgeon has now recommending ankle replacement but of course i now have to wait for a referral to a different surgeon. At the present i have very limited movement in the ankle, i am 57. Just wondering from the people who have already had this surgery done if they think it is a good idea. I live in winnipeg. Thank you and good luck to everyone in their recovery.
I had ankle replacement done in Aug 2011 at St. Mike in Toronto by Dr. Daniels. He is really an expert. He used Hintegra for me. I have recovered well and am painfree, however, the range of motion is only 30 degrees and if I push too much to bend ankle further, I feel pain. How is the range of motion with your ankles after replacement. Any pain with walking?
My father is going to have this surgery however he is nervous about it so I'm trying to get some feedback from people that have had this procedure done. He is 65, diabetic and has ankle problems from old age.
How long did it take for you to heal?
How much of an improvement was it?
Will him being a diabetic have any healing problems with this?
Very helpful comments. I have RA in my right ankle and would like to explore options for ankle replacement. For those who live in Winnipeg, did your family doc refer you or did you have to be referred to an ortho specialist first? How is everyone's recovery going and how long did you have to be off of work?
As an added precaution, if anyone is going to have this done please do your homework...Check on the Orthopedist's references...This is a touchy surgery and I have seen one that did not work out....I do relaize the pains of life, but just be sure you are dealing with the best...Take care...
If your insurance allows it, I have heard that John Hopkins and Mayo Clinic in Rochester are the best..If not, do your homework...See the responses of those who have had this surgery with this Orthopedist...Good luck....Take care...