Treatments of the Ankle

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  • Achilles Tendon Rupture Surgery

    The goal of Achilles tendon repair is to reconnect the calf muscles with the heel bone to restore push-off strength. Regaining Achilles tendon function after an injury is critical for walking.

  • Ankle Fracture Surgery

    The ankle is made up of three bones:

    • the tibia (shin bone), which forms the inside, front, and back of the ankle
    • the fibula, which forms the outside of the ankle
    • the talus, a small bone that sits between the tibia and fibula and the heel bone

    The ends of these bones are called malleoli. The tibia has a medial (inside) malleoli and a posterior malleoli. The fibula forms the lateral (outside) malleoli.

  • Insertional Achilles Tendinosis

    Insertional Achilles tendinitis is a degeneration of the fibers of the Achilles tendon directly at its insertion into the heel bone. It may be associated with inflammation of a bursa or tendon sheath in the same area.

  • Lateral Ankle Ligament Reconstruction

    Ankle sprains are one of the most common sports-related injuries. They affect 10,000 people per day. When the ligaments on the outside of the ankle are stretched or torn, patients can have pain and feelings of instability. If symptoms persist after non-surgical treatment, surgery may be required. The goal of this surgery is to restore normal stability to the ankle. This should also fix your feeling that the ankle “gives way” and any pain that is associated with an unstable ankle.

  • Lateral Ankle Ligament Reconstruction

    Ankle sprains are one of the most common sports-related injuries. They affect 10,000 people per day. When the ligaments on the outside of the ankle are stretched or torn, patients can have pain and feelings of instability. If symptoms persist after non-surgical treatment, surgery may be required. The goal of this surgery is to restore normal stability to the ankle. This should also fix your feeling that the ankle “gives way” and any pain that is associated with an unstable ankle.

  • Mosaicplasty for Osteochondral Lesions of the Talus

    Osteochondral lesions of the talus (OLT) are ankle joint injuries involving damage to the joint surface (cartilage) and/or underlying ankle bone (talus). A normal, healthy ankle joint is made up of smooth cartilage supported by strong bone underneath. Sometimes an ankle injury leads to damaged, rough areas of cartilage and bone underneath. Foot and ankle orthopaedic specialists call this type of injury an OLT. Since the ankle joint moves while walking, the rough spots may cause pain, swelling, stiffness, and decreased motion. It is kind of like having a pothole in the joint surface.

    One way to treat the damaged ankle cartilage is through surgery. One type of surgery is called mosaicplasty (MP), which is the transplant of small amounts of bone and cartilage. The primary goal of this procedure is to smooth out the surface of the ankle joint by replacing the unhealthy spots with healthy, smooth cartilage. By reconstructing the surface, pain and other symptoms should decrease or stop all together.

  • Mosaicplasty for Osteochondral Lesions of the Talus

    Osteochondral lesions of the talus (OLT) are ankle joint injuries involving damage to the joint surface (cartilage) and/or underlying ankle bone (talus). A normal, healthy ankle joint is made up of smooth cartilage supported by strong bone underneath. Sometimes an ankle injury leads to damaged, rough areas of cartilage and bone underneath. Foot and ankle orthopaedic specialists call this type of injury an OLT. Since the ankle joint moves while walking, the rough spots may cause pain, swelling, stiffness, and decreased motion. It is kind of like having a pothole in the joint surface.

    One way to treat the damaged ankle cartilage is through surgery. One type of surgery is called mosaicplasty (MP), which is the transplant of small amounts of bone and cartilage. The primary goal of this procedure is to smooth out the surface of the ankle joint by replacing the unhealthy spots with healthy, smooth cartilage. By reconstructing the surface, pain and other symptoms should decrease or stop all together.

  • Percutaneous Achilles Tendon Lengthening

    Percutaneous Achilles tendon lengthening in a procedure used to stretch a tight Achilles tendon and increase motion at the ankle joint.

  • Percutaneous Achilles Tendon Lengthening

    Percutaneous Achilles tendon lengthening in a procedure used to stretch a tight Achilles tendon and increase motion at the ankle joint.

  • Peroneus Longus to Achilles Tendon Transfer

    A peroneus longus (PL) to Achilles tendon transfer is done to restore strength across the ankle joint. Strength may have been lost due to an injury to the Achilles tendon or a neurological disorder. Also, patients with Achilles tendon pain that has not improved from non-surgical treatment may benefit from this transfer. Other tendons (such as the tendon to the big toe or lesser toes) may be chosen for the transfer instead of the PL, based on the underlying anatomy and function.

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