Recent Improvements to Ankle Replacement Surgery Result in Higher Success Rates and Faster Recovery

Recent advancements in Ankle Replacement surgery has increased the success rates and significantly improved the surgical procedure. While earlier generation ankle replacement systems were effective, newer advances have dramatically improved the procedure.

What’s New in the World of Ankle Replacement?

Wright Prophecy Ankle Replacement

The PROPHECY guides allows for improved accuracy of the surgery and faster recovery.

A major advance in ankle replacement has been the use of pre-operative CT scans with the Wright Medical PROPHECY Guide. Through computer imaging and the patient’s CT scan, a patient-specific surgery plan is developed. These scans are performed from the knee down, and are used to measure angles in all dimensions.

As surgeons, we know now the exact degree and level of correction to get the ankle back into an ideal working position. With progressive arthritis, there is often pretty significant angular deformity that needs to be corrected during an ankle replacement surgery. Ideal ankle implant sizing is also pre-determined, improving the accuracy of the procedure.

Once the computer imaging and CT scans are analyzed, and the preoperative plan is developed, the operating surgeon then reviews the information for approval.

Then, a rapid prototype machine produces patient-specific guide pieces out of high-resolution nylon.
These guides are used in surgery as shown in this image.

These advances have significantly improved the accuracy of ankle replacement surgery and have reduced the length of the operation. These advantages have the following benefits:

  • Reduced complication rate due to surgeon error
  • Significant reduction in operating time
  • Less time under anesthesia
  • Faster recovery due to less swelling and pain after surgery because of the smaller incisions and shorter operating time
  • Being able to identify bone cysts and loose bone fragments that can’t be seen on standard x-rays. Bone cysts can be filled with bone graft at the time of surgery to reduce the chance of a loosening implant.
  • Knowing the exact angle of correction helps guide the surgery regarding ligament balancing during the procedure.
Infinity Ankle Replacement, University Foot and Ankle Institute

The INFINITY system allows for excellent correction of deformity while removing a minimum of bone

Another advance that has had a positive effect on good outcomes is the development of more stream-lined, low-profile implants. Wright Medical’s new INFINITY Total Ankle System is designed to allow for excellent correction of deformity while removing a minimum of bone. This allows for the implant to sit against harder, stronger bone and reduces the chance for loosening or compression of the bone.

The INFINITY system is also interchangeable with the traditional INBONE system, which is great for revision surgery if the need arises in the future. Overall, it is a really nice modular, interchangeable system that affords the surgeon multiple options to deal with difficult ankles.

The surgeons at the University Foot and Ankle Institute have been trained in and have years of experience performing successful Total Ankle Replacement surgeries. It’s critically important to remember that not all patients are good candidates for ankle replacement surgery; there are age, weight, and health recommendations for successful outcomes.

If you have chronic ankle pain and have been diagnosed with ankle arthritis, surgeons at the University Foot and Ankle Institute are well prepared to assist in your treatment. We encourage you to call us at (877) 989-9110 or visit us at www.footankleinstitute.com.

Dr. Justin Franson

Dr. Justin Franson

After studying accounting and then leaning toward a physical therapy at Brigham Young University, Dr. Franson decided to pursue podiatry as his career. He then attended the School College of Podiatric Medicine in Chicago.

Upon graduation in 2001, Franson accepted a three-year residency program at the Greater Los Angeles VA and UCLA County Hospital.

Dr. Franson specializes in several areas including total ankle replacement and sports medicine.
Dr. Justin Franson

Leave a Reply

Your email address will not be published.

4 × four =

  • Google+
    I had been dealing with heel pain for far too long and went to seek treatment from University Foot and Ankle (in Manhattan Beach and Santa Monica). Within three weeks my pain had decreased for the first time in four y...
    Greg A.
  • Yelp
    Dr. Bob is fantastic! He is such a caring, attentive, professional doctor who always walks into the room with a smile. I had 2 separate experiences that he treated me for. The first one was last summer when he diag...
    Patty G.
  • CustomerSure
    I have been very pleased with my shoe inserts.
    Judy W.
  • CustomerSure
    The whole staff at University Foot & Ankle Institute is wonderful!!
    Nathalie R.
  • CustomerSure
    Fast and easy!
    Jonathan L.
  • My surgery was an amazing success, and I was treated with great care, leading to a complete and painless recovery. I couldn't be happier!
    E.S.
  • Yelp
    Dr. Franson is the best. I wish he was an internal medicine doctor, then he could be my primary care doc. I can't believe I picked him out of the yellow pages when I was new to the area 10 years ago. Dr. Franson was...
    Moira S.
  • Yelp
    Quick, painless, fantastic service.
    Mike G.
  • Yelp
    I am so grateful for Dr. Campbell!  He is very knowledgeable, skilled, thorough, and patient. His warm, friendly demeanor always keeps me calm (which is amazing for someone who gets as anxious as I do)!  During my f...
    Amanda S.
  • Yelp
    My feet have been killing me for the past two months and I put off getting it checked out. I finally came to see Dr. Briskin and I regret nothing! My appointment time was mostly kept and he found the problem right awa...
    Cynthia S.
Same day appointments now available!
or call 24/7:
  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Member Industry Health Network
  • Cirque du Soleil
  • ATP - Association of Tennis Professionals
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center