arthritic feet

Posted by rayhorne @rayhorne, Apr 4, 2017

need help

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Anyone contemplating hammer toes - 2 ways to operate. 1 ) go in under toe in joint, I guess? cut tendon with a hole -size of a thumb tack, no big whoop. Drive myself and went shopping for a long time after.
2) cut from top PAIN, long scar, Loong recovery -fat, ugly, curved toes, worse than b4. Still wearing a boot, cause shoes won't fit! Now must go to Kerland Jobe to look at it and I hope No More Surgery. Surgery on july 6,'18 till - 8/16/18 still can't wear my shoes. Good luck to anyone.

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I have severe osteoarthritis in the ankle. The treatments I have been offered are Fusion of the joint or total joint replacement of the ankle. I have already had a hip replacement and knee replaced on that leg. Has anyone on this site had a total ankle replacement and if so, How successful was it?

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@marnie42

I have severe osteoarthritis in the ankle. The treatments I have been offered are Fusion of the joint or total joint replacement of the ankle. I have already had a hip replacement and knee replaced on that leg. Has anyone on this site had a total ankle replacement and if so, How successful was it?

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Hello @marnie42, Welcome to Connect. There is an older discussion you may want to view to learn what other members have shared while we wait for other members who have had a total ankle replacement to respond to your question. -- Total Ankle Replacement: https://connect.mayoclinic.org/discussion/total-ankle-replacement/

Here are a few articles you may find helpful
-- Mayo Clinic Q and A: Considering ankle replacement surgery: https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-considering-ankle-replacement-surgery/
-- Excerpt from article below: "Recent studies have shown as high as 90% of total ankle replacements are still intact at 5 years after surgery. This number drops to about 80% at 8 years after surgery. Longevity of the ankle replacement seems to be better in those patients who have less deformity of their ankle going into the surgery." - Total Ankle Replacements FAQs - Washington University Orthopedics: https://www.ortho.wustl.edu/content/Education/2915/Patient-Education/Educational-Materials/Total-Ankle-Replacements-FAQs.aspx

Did your doctor or surgeon offer any advice or thoughts on fusion vs replacement?

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@marnie42

I have severe osteoarthritis in the ankle. The treatments I have been offered are Fusion of the joint or total joint replacement of the ankle. I have already had a hip replacement and knee replaced on that leg. Has anyone on this site had a total ankle replacement and if so, How successful was it?

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I had a a subtalar joint fusion 25 years ago and that was replaced with an ankle replacement 12 years ago. My orthopedist performed the fusion so long ago because he and the docs at the University of Michigan did not feel artificial ankle replacement technology was good enough all those years ago. Eventually I was in so much pain and prosthetic ankle joint technology was much improved. Then my surgeon performed the ankle replacement.

I have no ankle pain. I have a surprisingly good range of motion in that ankle. I can walk 15,000 steps/day on my ankle. I do not run.

As pleased as I am with my ankle replacement you should know it is a big surgery with a much longer recovery time than a knee or hip replacement. You can bear no weight on the replacement ankle for weeks.

Also my surgeon required that the patient was compliant, had good bone to insert the prosthetic ankle into and that the patient was not overweight because noncompliance, poor bone quality and obesity could cause the ankle replacement to fail.

I would only go to an orthopedic surgeon who specializes in ankle replacement. I would research that the surgeon is using a really good prosthesis.

I would also recommend using a knee caddy rather than crutches because you can not bear weight for a long time.

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@jojo123456

I had a a subtalar joint fusion 25 years ago and that was replaced with an ankle replacement 12 years ago. My orthopedist performed the fusion so long ago because he and the docs at the University of Michigan did not feel artificial ankle replacement technology was good enough all those years ago. Eventually I was in so much pain and prosthetic ankle joint technology was much improved. Then my surgeon performed the ankle replacement.

I have no ankle pain. I have a surprisingly good range of motion in that ankle. I can walk 15,000 steps/day on my ankle. I do not run.

As pleased as I am with my ankle replacement you should know it is a big surgery with a much longer recovery time than a knee or hip replacement. You can bear no weight on the replacement ankle for weeks.

Also my surgeon required that the patient was compliant, had good bone to insert the prosthetic ankle into and that the patient was not overweight because noncompliance, poor bone quality and obesity could cause the ankle replacement to fail.

I would only go to an orthopedic surgeon who specializes in ankle replacement. I would research that the surgeon is using a really good prosthesis.

I would also recommend using a knee caddy rather than crutches because you can not bear weight for a long time.

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Thanks for the information.. I will consult with my physician at U of MI. Has anyone had "lubrication" agents injected in the ankle for pain management? Was it effective? Cortisone injection did nothing for me.

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@mamacita

Among other things,@rayhome, I too, have hammertoes. Until I recently had surgery for an ingrown toenail, I didn't experience pain in my toes. Now, I can only wear certain shoes that don't hurt my feet. I have a wonderful podiatrist who said he would do surgery. I believe I will have it done in September, after a family member has some appointments at a regionsl medical center. The pain is enough to effect my activities of daily living. I give you my sincerest sympathy as you walk through this journey with your wife. What a blessing you must be to her. Prayers and good vibes sent your way, for sure! Talk with you again soon!

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I am wondering why you had pain in your toes after the ingrown toenail surgery. I have an ingrown hail and have an appointment with a podiatrist to remove it. I also have my second toe crossing over my big toe. I am going to see what she says about it. I’m thinking an orthopedic surgeon would be better to correct it. I am hesitant to do anything about it because both of my sisters have had surgery on their toes and neither had good results. Their procedures were done by a podiatrist.

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