Patient Information Resources


Hand and Thumb Specialty Centers
8715 Village Drive
Suite 504
San Antonio, TX 78217
Ph: 210-251-4362
drcoleman@thatsc.net






Ankle
Fractures
Hand
Wrist

View Web RX

« Back

Ankle Joint Replacement Measures Up

Posted on: 09/20/2004
The results of ankle replacement are better than ever. Researchers at the University of Minnesota have found a way to measure true ankle motion to prove this.

Until now, other studies reported measures of the ankle, midfoot, and hind foot motion. True ankle joint motion is measured where the tibia (lower leg bone) meets the talus. The talus forms the lower part of the ankle dome. The point where these bones meet is the tibiotalar joint.

The ankle has several different motions. Normal ankle motion allows the foot to point down a full 50 degrees. This motion is called plantarflexion. Pulling the toes up toward the face is called dorsiflexion. Most adults can dorsiflex about 20 degrees. Both motions are needed for walking and going up and down stairs.

In this study, all ankles were X-rayed with the patient in the standing position. A second X-ray was taken from the side with the ankle in both full dorsiflexion and full plantarflexion. X-rays were taken before and after the joint replacement. This method allowed researchers to detect motion at the true ankle joint.

Everyone got the same type of ankle implant, called the Agility Ankle. Results of this study showed that patients had five degrees more true tibiotalar motion after the operation. This was enough motion to allow the patients to walk normally. There were still some problems going up and down stairs.

The authors think patients should be told before the surgery that the benefit is mostly pain relief. The increase in ankle motion isn't especially good. Final ankle motion is based on ankle joint motion before surgery. Most patients do seem able to make use of the motion they have when the pain is gone.

References:
J. Chris Coetzee, MD, FRCSC, and Michael D. Castro, DO. Accurate Measurement of Ankle Range of Motion after Total Ankle Arthroplasty. In Clinical Orthopaedics and Related Research. July 2004. No. 424. Pp. 27-31.

« Back





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.


All content provided by eORTHOPOD® is a registered trademark of Mosaic Medical Group, L.L.C.. Content is the sole property of Mosaic Medical Group, LLC and used herein by permission.