Treatment in Germany and Switzerland

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Ankle joint arthrosis, endoprosthesis replacement

With the course of time, osteoarthrosis brings about total cartilage destruction, ankle joint deformation and immobility. Bone lumps appear and get visible. These processes are accompanied with pains that get stronger and more acute and with the course of time become continuous even if the patient rests. That inevitably results into immobility. That’s why the therapy should start as early as possible.
One can study arthrosis on the X-ray: the narrowing of the joint cavity between the shinbone and ankle bone is the evidence of the cartilage destruction. If for some reason (the patient’s age or the damage severity) the joint can’t be preserved or conservative and arthroscopy methods (sanitation or cartilage transplantation) didn’t bring any results or have some contradictions, then the ankle joint is replaced (endoprosthesis replacement).
Most prostheses are fixed using the cementless method. They recover the joint mobility and thus normalize the load on the neighboring joints (as a rule, at the advanced foot osteoarthrose stages, the same changes start in other joints due to the overload).
Endoprosthesis replacement is aimed at reducing (eliminating) the patient’s pain and get him/her back to the normal lifestyle. Due to the modern equipment, high-quality materials and the German surgeons’ professionalism, the treatment results are stable and over 95% of the patients can get back to their usual lifestyle after the operation.
Prostheses consist of three parts:

  • The talar head reproduced the anatomic shape of the human one.
  • The tibialis is fixed with the screws and anchors using the pressing method.
  • The half-moon-shaped plastic mobile stem between the ankle and the shin-bone allow the joint move in many directions.

Модель протеза голеностопного сустава

Протезирование голеностопного сустава

Arteficial joint model (S=tibialis, G=mobile stem, T=heal).

Ankle prosthesis fixed to the bone.

Post-surgery:

  • Keep your joint at rest till the complete wound healing (5-10 days).
  • Apply dry ice for 15 minutes several times a day.
  • Start exercising your joint as soon as the swell disappears and the wound is healed.
  • Avoid any physical exercises.

The doctor usually prescribes anti-inflammatory, anti-thrombotic medicines and anesthetics. The stiches are usually removed on the 12-14th day after the operation. If the wound heals good and there is no inflammation a special splint is applied on the 2nd-3rd day after the operation allowing to move the joint increasing the load gradually and preventing the joint displacement. The split is applied for 4-5 weeks. After it is removed the patient starts doing exercises aimed at the calf muscles strengthening, stretching and flexibility. Several weeks after the operation, the patient can walk with the joint full-loaded.