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Total Ankle Replacement

Total ankle replacement is an operation to replace a worn-out ankle joint by resurfacing the ends of your tibia and talus with metal components with a plastic insert in between them to allow gliding motion.

The metal components are fixed into bones using pegs or stems and have a special coating to encourage the patient’s bone to grow into them. Total ankle replacement (TAR) is an emerging technology. Although the first generation of total ankle replacements in the 1970’s showed poor results, improvements in technology and research have led to the development of the third generation of uncemented, three component, mobile-bearing implants.

Read more: Total Ankle Replacement
Ankle Fusion (Arthrodesis)

Ankle fusion is an operation to convert a stiff painful joint into an even stiffer but painless joint. In this procedure, the remaining damaged cartilage is removed from the ends of the bone and the two bones are then held together in compression using screws, or plates until they join to become one (bone fusion).

Read more: Ankle Fusion (Arthrodesis)
Bunions (hallux valgus) and lesser toe deformities treatment

Surgery should only be considered if all non-surgical measures have been explored and if symptoms are significant. Bunion and/or lesser toe surgery is not just a cosmetic procedure and you could be swapping a deformed PAINLESS foot for a PAINFUL cosmetically pleasing foot.

Greater understanding of the many complex components of hallux valgus and lesser toe deformities has led to more patient-specific surgery. Fixation with screws has significantly decreased pain in the post-operative period. Patients no longer need to be in a plaster cast for six weeks following surgery and can mobilise straight away in a wedge shoe.

Read more: Bunions (hallux valgus) and lesser toe deformities treatment

The ankle is a hinge joint between the leg and the foot, and allows up/down and side/side movement. Stability is provided by strong ligaments either side of the ankle.

The ligament on the outside of the ankle is called the lateral ligament. It is made up of three bands connecting the fibula (the prominent bone on the outside of the ankle) and the talus (ankle bone) and calcaneus (heel bone). If the ankle is twisted, the ligaments can become stretched or torn. This is known as a sprained ankle.

Read more: Lateral Ligament Reconstruction of the Ankle

Many conditions affecting the foot can produce discomfort, which can limit mobility, therefore your feet need to be strong and healthy. The foot is a complicated part of the anatomy and consists of 26 bones, 33 joints and numerous tendons, ligaments and muscles. Sometimes the structure and mechanics of your feet or ankles change (for a number of reasons) and surgery may be required to address these. Surgery is usually only considered when all conservative measures have been exhausted.

Read more: Foot and ankle surgery

The tibialis posterior is a muscle in the lower leg. The tendon from this muscle runs behind the inside bone on the ankle (called the medial malleolus), across the instep and attaches to the bottom of the foot. The tibialis posterior is important as it helps to hold the arch of the foot up and stop the foot rolling over. Sometimes the tendon becomes stretched and inflamed. This condition can be called Tibialis Posterior Tendon Dysfunction, Tibialis Posterior Insufficiency or Acquired Adult Flat Foot.

Read more: Adult aquired flatfoot deformity or tibialis posterior tendon dysfunction

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