Ankle Procedures

OATS of the ankle is a surgical procedure to treat Osteochondral Lesions of the Talus (OCL) or Osteochondritis Dissecans (OCD). It involves the transfer of healthy cartilage to replace the damaged cartilage and restore the normal function of the foot. The cartilage can be taken from your ankle joint (autograft) for smaller defects. An allograft (graft from a donor) is considered for large defects.

Open reduction and internal fixation (ORIF) of the ankle is a surgical procedure performed to repair serious fractures (broken bones) of the ankle. It is performed on one or more of the three bones that form the ankle joint. Open reduction refers to making an open incision (long surgical cut) to access the broken bones and reposition or realign them into their normal position.

Endoscopic os trigonum excision is a minimally invasive surgical procedure to remove a painful tiny bone at the back of the foot known as the os trigonum. Endoscopic refers to the surgery being performed using an endoscope - a thin tubular instrument with a camera, light, and a magnifying lens attached at the end - that is used to inspect the internal structures of the rear of the foot.

Posterior tibialis tendon repair is a surgery performed to repair an injured or torn posterior tibialis tendon. The tear may occur as a result of a fall or break/dislocation of the ankle. The surgery may also be performed for chronic inflammation of the posterior tibialis tendon due to overuse. The posterior tibialis tendon is a cord of strong fibrous tissue. It passes through the ankle to attach the calf muscle with the bones of the mid foot.

Ankle tenotomy is a surgical procedure to lengthen the Achilles tendon, enabling the ankle to flex upward and allowing the heel to be placed flat on the floor. It is indicated in if you have an abnormally developed Achilles tendon or one that has become shortened and is difficult to stretch. The surgery is performed to restore the normal range of motion of the ankle.

Ankle instability is a chronic condition characterized by the recurrent slipping of the outer side of the ankle. Instability is generally noticed during movement of the ankle joint, but can also occur while standing. Ankle instability usually results from repeated ankle sprains. Inadequate healing of a sprained ligament or incomplete rehabilitation of the affected ligament can result in instability.

Ankle fusion, also known as ankle arthrodesis, is a surgical procedure commonly employed for the treatment of ankle arthritis in which the joint cartilage is severely damaged. The procedure involves fusion of the bones that form the ankle joint into one piece, which eliminates joint motion and relieves pain originating from the arthritic joint.

The surgery is usually performed as an outpatient procedure, under a nerve block and sedation. An incision is made at the back of your leg. Your surgeon will stitch the torn tendon back together with strong sutures. Your surgeon may reinforce the Achilles tendon with other tendons depending on the extent of the tear.

Ankle arthrodesis is the surgical fusion of bones that form the ankle joint. The ankle joint is formed by the tibia, talus, and the fibula bones. The goal of ankle arthrodesis is to relieve pain in the affected joint. This is achieved by surgically eliminating the joint. Ankle arthrodesis is recommended for the treatment of severe end-stage arthritis that has not responded to conservative treatment measures such as medications or injections.

Anterior tibialis tendon repair is a surgery performed to repair a torn or ruptured anterior tibialis tendon. The rupture may occur as a result of a degenerative change or a traumatic event where the ankle and foot are pulled down and outwards forcefully, which in turn maximally stretches the tendon, causing it to rupture.

Ankle ligament reconstruction may be performed arthroscopically under general anesthesia. Your surgeon will make small incisions in your ankle. A tiny camera and a few special instruments are inserted through the incisions to repair and strengthen the ligaments. Stretched or torn ligaments will be shortened and stitched as needed.

Ankle joint replacement, also known as total ankle arthroplasty, is a surgical procedure performed to relieve pain and immobility due to severe end-stage arthritis that has not responded to non-surgical treatments. The goal of ankle joint replacement surgery is to eliminate your pain and increase the mobility of your ankle joint.

The subtalar joint is a complex joint located below the ankle joint and is formed by the union of the heel (calcaneus) and the talus (ankle) bone. The subtalar joint allows side-to-side movement of the foot. Subtalar arthrodesis is the surgical fusion of bones that form the subtalar joint. The goal of subtalar arthrodesis is to relieve pain in the affected joint. This is achieved by surgically eliminating the joint.

Ankle arthroscopy is a minimally invasive surgical procedure in which an arthroscope, a small, soft, flexible tube with a light and video camera at the end, is inserted into the ankle joint to evaluate and treat a variety of conditions. The camera projects an image of the inside of the joint onto a large monitor, allowing your surgeon to look for any damage, assess the type of injury and repair the problem.

In a custom 3D printed ankle replacement surgery, the damaged or worn ankle joint is replaced with a patient-specific implant that is usually made of cobalt-chromium-molybdenum powder. Prior to surgery, a CT scan of your foot and ankle is obtained. Based on the scan results, 3D bone models of the ankle bones which include the tibia, fibula, talus, and calcaneus are generated.

INFINITY™ Total Ankle System is a state-of-the-art ankle replacement system used for the treatment of various types of ankle arthritis in which the damaged or worn out articulating surfaces of the ankle joints are removed and replaced with high quality implants of INFINITY™ total ankle system.

The tibia and the fibula bones of the lower leg join with the talus bone to form the ankle joint. The talus bone is an important bone located between the tibia and fibula and the heel bone (calcaneus). OCL or OCD is the damage to the cartilage and the talus bone of the ankle joint. Usually, the inner or the medial portion of the ankle is affected.

The ankle is made up of many bones, muscles, and ligaments that aid in the smooth movement of the foot. Ankle impingement is the painful limitation of movement of the ankle due to an abnormality in the soft tissue or bone. Impingement can occur in the ankle's front (anterior ankle impingement) or back (posterior ankle impingement).

The peroneal tendons run behind the lateral malleolus (the bony protrusion on the outside of the ankle). They connect the peroneal muscles - the peroneus brevis and peroneus longus - to the foot. Peroneal tendon dislocation occurs when either of the tendons slips forward over the lateral malleolus due to a tear in the tendon near its attachment to the bone.