The Ankle is a complex joint in the body composing of 3 bones (Tibia, Fibula, Talus), 8 ligaments and 11 tendons which cross the joint. The ankle fortunately does not undergo the same arthritic process as the knee overtime. However, the ankle is the most frequently injured structure in athletes being damaged in 30% to 45% of all sports injuries. Small injuries can result in long term damage and pain. make an appointment and come discuss all the options available, together we can help you.
Patients undergoing ankle sprain will complain of pain, intermittent swelling, and functional instability. Sprains can causing major damage and instability the ankle structures if not regonized and treated.
Clinical examination and stress radiographs may show increased
translation and inversion laxity. Immediate treatment is paramount to reduce future arthritis, tendonitis, instability and future surgery.
Chronic Ankle Instability
Patient that undergo several moderate to severe ankle sprains will have a very unstable joint and increasing risk of an ankle fracture. The major issues with soft tissue injuries of the ankle are due to the lack of blood supply and healing post injury. This is a major reason proper treatment post sprain is key. Most chronic ankle instability patients will undergo reconstruction but there are conservative treatments available.
COMPREHENSIVE FRACTURE CARE
Careful regonition and evaluation of an ankle fracture is needed. Most ankle fracture will require surgery for proper alignment and correction. Attention to not only the bones are required but also a ligament called the syndesmotic ligament. This ligament is complex and essential following all ankle fractures. Failure to recognize an injury to the syndesmosis can lead to tibiofibular diastasis,
ankle instability, and early posttraumatic arthritis.
Additionally, cartilage damage chondral lesions can lead to early osteoarthritis, resulting in pain and loss of function of the ankle joint. Most cartelage lesions of the ankle is primarily traumatic in origin. Those injuries involve damage or separation of the cartilage and underlying
subchondral bone, hence the term osteochondral fracture or osteochondral lesions.
Most ankle conditions can be treated without the need of surgery; however,when surgery is needed choose a BOARD CERTIFIED PHYSICIAN IN REAFOOT AND ANKLE RECONSTRUCTION. Know what and when a treatment is necessary or recommened. Here are the foot and ankle clinic the patient-physician relationship is built with integraty and experience.
Minimally invasive surgical technique that utilizes the technology of fiberoptics, magnifying lenses, and digital video monitors to allow the surgeon to directly visualize the inside of an ankle through small 1cm incisions. This allows for better visibility within the ankle, space to maneuver instruments, and clearance of debris.
Weightbearing after surgery
Return to activity and work faster
Ankle Fracture Repair (ORIF)
The fractured ankle is the most comman joint fracture of a weight bearing joint. Attention to detail in its treatment remains critical to avoid complications.
Outpatient surgery (most)
AO trained surgeon
Guided Post-operative coarse by the physician
Ankle Arthritis Surgery
Advances in understanding and technology has led to new approaches in the treatment of ankle arthritis
Ankle arthrodiastasis (disctraction)
Ankle Arthrodesis (Fusion)
Ankle Endoprosthesis (Implant)
Arthritis of the Ankle
The prevalence of ankle osteoarthritis is difficult to assess as clinical symptoms are not consistent as other joints. Knee arthritis is 8-10 x more common as the ankle. However, any trauma to the ankle over 70% of patient with prior injury will have some degree of post traumatic arthritis. The good news not every patient needs surgery and conservative therapy is a good option.
Cartilage Damage- Osteochondritis Dissecans
Osteochondral lesions include
transchondral, osteochondral, flake, or talar dome fractures and osteochondritis dissecans as a result of trauma, vascular compromise, genetic, endocrine, or morphologic abnormalities. 55% of all lesion require surgery. Patient will relate pain, swelling, locking or clicking coming from the joint. Early assessment and treatment can reduce the risk furhter injury and ankle fusion.
Diabetic Limb Salvage and Reconstruction
Improved technique and technology has allowed accurate and alternative treatments in wound healing and diabetic foot salvage. Its not just saving a leg but saving ones life. Research shows that a patient with one leg amputated has a 41% chance of death in 1 year and 68% chance in 5 years. Further diabetics have a 15 times higher chance of a amputation. We beleive in the "Save a Leg, Save a life" philosophy
Limb Salvage and Diabetic Infections
A mulitisystemic approach is paramount to saving limbs. Patient’s presentation, examination, laboratory, diagnostic data, vascular assessment and systemic conditions are just some important factors to consider pertaining to the management and care.