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A New Trend – Total Ankle Replacement

Posted by on July 27, 2017

When physical therapy hasn’t worked, when injections haven’t worked, and you feel you’ve exhausted all other options for your aching joint, you may be looking at joint replacement surgery. This was certainly the case for patient Dennis Edwards of Pulaski.

Foot Ankle lead article photo 2 Foot Ankle lead article photo 2
Dennis Edwards’ pre-op x-rays, showing the old screws from his first surgery.

Dennis was in an accident in 1994 that left him with a badly injured ankle and a poor future prognosis for complete healing. Dr. Eslick Daniel performed the original reconstructive surgery on Dennis but advised that he would eventually need an ankle fusion. Because pain is typically made worse with movement of the ankle bones, an orthopedic surgeon will use screws to join the bones together to reduce that movement. The patient will generally see a reduction in pain, but range of motion in the joint is also limited.

Fast forward 23 years, and Dennis began to realize that his continuous ankle pain was becoming simply too much to bear.

“This past summer, the pain worsened to the point that it was keeping me up at night. It was just bad, sudden pain when I was walking or resting. It never stopped,” said Dennis. A visit to Dr. Randy Davidson at Mid-Tennessee Bone and Joint resulted in a series of cortisone injections, but relief only lasted about two days before the pain would come back. At that point, Dennis knew he would have to explore other options.

“Before Dr. Davidson mentioned it, I had never heard of a total ankle replacement,” said Dennis. For most patients, a total ankle replacement typically allows for a shortened recovery time and the ability to regain motion in the joint, as compared to a fusion. Dennis said, “When I heard that, I was completely on board. I’m a ‘get it done’ kind of guy, so I was ready to go.”

Foot Ankle lead article photo 2 Foot Ankle lead article photo 2 Dennis Edwards’ post-op x-rays, showing the new replacement joint.

Dr. Davidson has been very encouraged by Dennis’ progress. Instead of having to be in a cast for three months, he was able to transition from a cast to a brace after just two weeks.

Two weeks post-surgery, Dennis could already tell a difference in his ankle. “I think any pain I’m feeling right now is coming from the staples they put in after the surgery, instead of from the bones like it used to. I have a high pain tolerance, but I can tell a huge difference in how I felt before surgery and how I feel now,” he said. “I’ll do physical therapy at home for about a month and then I’ll come back to the clinic for some more therapy. Overall, my recovery has been great. It’s just hard to be patient when you’re a patient,” he said.

When asked about what he would say to anyone considering this surgery, Dennis was quick to answer. “Go for it. Most people I’ve talked to had no idea you could even do a total ankle replacement.” He was also very complimentary on the staff and physicians at Maury Regional Medical Center. “I have always told people that if I ever needed to go to a hospital, take me to Maury Regional. We’ve always received the best care there and have been very pleased with everyone.”

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