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InBone Total Ankle System Replacement System

Before Surgery

InBone_total_ankle_systemIt is common to feel nervous, excited or scared before your total ankle surgery. It is important to be mentally prepared for the following day, because it will change your life forever.

Physicians at WeTreatFeet will tell you when to stop eating and drinking before surgery. It is important to follow the instructions to a tee; that means you cannot drink coffee or tea in the morning when you wake up! If you take a daily medication, be sure to ask if you should still take it the morning of the surgery. Be sure to inform us if you are taking any blood thinning medications, such as Coumadin, Asprin, Ibuprofen and other anti-inflammatory medications, as these may cause greater blood loss in surgery.

During Surgery

When you arrive at the hospital, you will be taken to the pre-operative wing, where you will meet the anesthesiologist who will manage the case. They will review your medical history and ask a number of questions to determine the appropriate type of anesthesia for the case. Nurses will take your temperature, pulse, breathing and blood pressure. An IV (intravenous) line may be started to provide fluids and medications needed during surgery.

When the surgical team is ready, you'll be taken to the operating room, where you will be given anesthesia to help you sleep through surgery, or make you numb from the waist down. Then an incision is made through the front of your ankle. Physicians at WeTreatFeet will cut out the diseased parts of the tibia and talus and replace them with the prosthesis components. After the fit and alignment of the prosthesis is confirmed, the incision is closed with stitches to prevent wound problems. A cast is then applied. You will be given antibiotics both during and after surgery to prevent infection.

After Surgery

You should plan on spending at least one night in the hospital, with further time depending upon your condition. In order to prevent infection, your doctor will prescribe oral antibiotics to be taken while the wound heals. One to two weeks after surgery, Physicians at WeTreatFeet will inspect the wound and check your progress. Your cast can be removed anywhere from 4-6 weeks post-op, depending on your recovery. At that time, you will begin physical therapy to regain normal joint movement. The Physicians at WeTreatFeet will determine when you can return to other daily living activities.
The Procedure
The Inbone total Ankle Replacement System is available with multiple sizes and configurations to fit any patient. It is a successful alternative to ankle arthrodesis (fusion) or as a replacement for a previous failed ankle implant.  
The Inbone Total Ankle System is the only ankle replacement that features a specialized foot holder system that gaurentees accuracy and reproducibility for each patient.
Initial incision is made centrally over the ankle. Prominent osteophytes are removed and the ankle joint is identified.
The foot is then placed into the custom foot holder and guide wires are placed in the heel to anchor the ankle in a reproducible position. This insures proper placement of the implant.

C-Arm Images are used to verify the position of the foot in the holder using the guides provided.
The ankle is then drilled using the foot holder to specifically locate the correct ankle position for the implant stems.
The implant is sized by placing a sizing jig over the ankle and aligning it with the joint. Guide wires are then placed to insure proper cutting of the bone.
The bone is then cut and removed using the foot holder and jig.
C-Arm is again used to verify the position of the foot on the jig in preparation of the ankle for the implant.
The implant is then placed into the joint using the specialized equipment, returning the ankle to its anatomical alignment.
The final X-Rays show the implant within the ankle. The Patient is then placed in a cast for 2-4 weeks and once the incision is healed, the immediately start physicial therapy for motion and strength training.The patient will not be allowed to put weight on the ankle for 6 weeks to allow for healing of the bone around the implant.
 
     
 
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