Victorian Orthopaedic Foot & Ankle Clinic
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Arthritis of the Ankle Joint

There are many causes for arthritis of the ankle joint. Although a variety of non-operative treatments may be tried including a special brace, these are of not usually successful in the long term. For milder forms of arthritis an arthroscopy (key hole surgery) to clean out the ankle joint can offer good relief of symptoms.

More severe ankle arthritis may be treated either by a fusion (surgical stiffening) of the ankle joint or an ankle joint replacement.

Ankle fusion surgery often can be done utilizing innovative techniques using tiny skin incisions. Ankle fusion performed this way reliable and the recovery much quicker. The surgery may be performed using a local instead of a general anaesthetic, allowing earlier recovery and discharge from hospital.

Case - 1  

Pre Operative -  Osteoarthritis - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Preoperative x-ray of a patient who has severe post-traumatic osteoarthritis of the ankle joint.

Post Operative -  Osteoarthritis - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Post-operative x-rays following fusion of the patient's ankle using an innovative mini-open technique.

Post Operative -  Osteoarthritis - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Post-operative x-rays following fusion of the patient's ankle using an innovative mini-open technique.

Post Operative -  Osteoarthritis - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Other methods of internal fixation for ankle fusion include a combination of screws and locking plate.

More recently as an alternative to ankle arthrodesis, total ankle joint replacement (TAJR) has been performed successfully. Dr Beischer has worked closely with both Dr Mark Myerson and Dr Sigvard Hansen who are world leaders in the development of this new technique. In carefully selected cases Dr Beischer may offer this technique to patients with ankle arthritis. TAJR permits movement of the foot and ankle, and protects the adjacent joints of the foot from further deterioration, which, may occur following an ankle fusion.

Case - 2  

Post Operative - Total Ankle Joint Replacement - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Post-operative x-ray following successful total ankle joint replacement.

Post Operative - Total Ankle Joint Replacement - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Photographs demonstrating the active range of motion following successful total ankle joint replacement

Post Operative - Total Ankle Joint Replacement - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Photographs demonstrating the active range of motion following successful total ankle joint replacement

Post Operative - Total Ankle Joint Replacement - X-ray - Victorian Orthopaedic Foot & Ankle Clinic

Photographs demonstrating the active range of motion following successful total ankle joint replacement

Intra Operative - Hintegra Total Ankle Replacement - Victorian Orthopaedic Foot & Ankle Clinic

Photograph of the 'Hintegra' total ankle joint replacement prosthesis.

Hintegra Total Ankle Replacement Prosthesis - Victorian Orthopaedic Foot & Ankle Clinic

This is the Hintegra Total ankle replacement prosthesis. It comprises of 3 parts. The metal components are fixed to the tibia and talus. The "white" polyethylene (plastic) component forms the new ankle joint and allows the ankle movement.

This video animation illustrates the Hintegra Ankle Joint replacement

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Hallus Valgus (Bunions) - Victorian Orthopaedic Foot & Ankle Clinic
Hallux Rigidus - Victorian Orthopaedic Foot & Ankle Clinic
Toe Deformities - Victorian Orthopaedic Foot & Ankle Clinic
Ankle Arthritis - Victorian Orthopaedic Foot & Ankle Clinic
Ankle Instability - Victorian Orthopaedic Foot & Ankle Clinic
Flat Foot Deformity - Victorian Orthopaedic Foot & Ankle Clinic
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Midfoot Arthritis - Victorian Orthopaedic Foot & Ankle Clinic
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