Ankle Replacement Surgery
Ankle Replacement is surgery to replace the damaged bone in the ankle joint. Artificial joint parts (prosthetics) are used to replace the bones. Still ankle replacement is not a common procedure and the research is ongoing to improve the results. In India the surgery is done by joint replacement surgeons who have trained in ankle replacement. Ankle replacement is a surgery where in a patient speific implant is put in place of the old ankle.
Cost For Ankle Replacement In India
Healthcare in India is already very low as compare to western counteries. The cost of Unilateral Unilateral Ankle Replacement in India is approx 9000 - 10,000 USD. Ankle Replacement is a costly procedure due to the high patient specific implants. Dr Debashish Chanda and Dr Anubhav Gulati at GNH Hospital Gurgaon, India does Unilateral Ankle Replacement Surgery at 9000 USD and Ankle Fusion at 3000 USD.
Candidate For Ankle Replacement
Total Ankle Replacement is considered in patients that experience ankle pain and decreased function from arthritis after trying conservative management. Conservative management includes anti-inflammatory medication, bracing, physical therapy, activity modification and pain medication. Patients with rheumatoid arthritis are usually good candidates for the ankle joint replacement. Other patients that should be considered are those that need but do not want a fusion-type procedure that would eliminate the motion at the ankle joint.
Total Ankle Replacement is not suited for patients with significant deformity or dead bone in the talus, which is the bottom bone of the ankle joint. Prior or current infections of the ankle, significant lower extremity neuropathy, inadequate or absent leg muscle function, poor blood flow of the leg, or inadequate soft tissues are also signs that Ankle Replacement should be avoided.
Ankle sprains are one of the most common musculoskeletal injuries. Sprains are injuries to the ligaments of the ankle, causing them to partially or completely tear as a result of sudden stretching. They can occur on either or both of the inner and outer portions of the ankle joint. Ankle sprains more commonly happen when there is a preexisting muscle weakness in the ankle area or a history of previous ankle injuries. The typical injury occurs when the ankle is suddenly "twisted" in a sports activity or by stepping off an uneven surface
After Ankle Replacement Surgery
Recovery from a total ankle replacement requires a period of non-weightbearing and immobilization. The procedure is usually performed in an inpatient setting, with the patient spending one to several nights in the hospital. Strict elevation for many days after the procedure is necessary to control swelling and improve wound healing. After the surgical wounds are healed, some orthopaedic foot and ankle surgeons will allow the patient to start working on gentle range-of-motion activities even if they are non-weightbearing. Weightbearing usually begins a few weeks after surgery if X-rays show good healing.
Fracture of bone on either side of the total ankle implant is the most common complication. Injury to tendons or nerves and blood vessels is also a possible complication of ankle replacement. Wound healing can be a problem in patients that smoke or have diabetes, or in patients that have rheumatoid arthritis. Another complication that is sometimes seen is the failure of the ankle implant to heal into the bone.
When motion of the ankle is preserved in a Ankle Replacement, the surrounding joints are protected from increased wear. This helps preserve the surrounding joints from arthritis. It is usual for people with ankle fusions to have progressive arthritis in the surrounding joints in about 10 to 15 years. Your doctor may recommend physical therapy to teach you exercises that will help you move more easily.
Dr Anubhav Gulati
MBBS, MS (Ortho), MRCS (Edinburgh)
Joint Replacement Surgeon
Dr Anubhav Gulati is a well known orthopaedic and joint replacement surgeon having worked with various hospitals in Delhi, Gurgaon and abroad. Dr Gulati has an experience of more than 17 years as orthopaedic, trauma and joint replacement surgeon. He has been extensively trained in all joint replacement surgeries and trauma surgeries like nailing, plating, fixation, poly trauma, multiple fractures etc.
Dr Debashish Chanda
MBBS, MS (Ortho), Fellowship In Arthroplasty (Computer Navigation)
Joint Replacement Surgeon
Dr Debashish Chanda is an accomplished and trained orthopaedic surgeon. Dr Chanda specializes in elective orthopaedic surgeries like fracture fixation, complex fractures and trauma surgeries. Apart from orthopaedic surgery he is also trained in arthroscopic surgery for ACL / PCL tear, Meniscus tear, shouder and other small joint arthroscopy.