Total Ankle Joint Replacement in Los Angeles

What Is Total Ankle Joint Replacement Surgery?

Total ankle joint replacement is a surgical procedure that replaces a damaged ankle joint with an artificial implant to restore mobility and reduce pain. The ankle is a complex joint that endures incredible forces with every step. Over time, factors like overuse, aging, microtrauma, or severe injury can wear down the cartilage, leading to debilitating ankle arthritis. Traditionally, ankle joint fusion was the gold standard for treatment, eliminating pain but restricting movement. However, with advancements in total ankle joint replacement, patients can now achieve pain relief while preserving some natural mobility.

Ankle replacement technology has evolved over the past 30 years, significantly improving implant durability and performance. Early generations of ankle replacements struggled due to inadequate materials, leading to implant failure. However, modern research and advancements in biomechanics have resulted in more durable, long-lasting implants, making total ankle replacement a viable alternative to fusion for many patients.

Dr. Soomekh is recognized as one of the best ankle surgeons in Los Angeles and is highly experienced in total ankle joint replacement surgery, also known as total ankle arthroplasty (TAA). Patients from all over the country seek out his expertise in this advanced procedure.

Patient Selection for Total Ankle Joint Replacement

The success of total ankle replacement in Los Angeles depends on selecting the right patient and using the correct implant. Dr. Soomekh carefully evaluates each patient’s condition to determine the best course of action.

• Ankle fusion is typically recommended for younger, highly active individuals who require maximum stability and strength. It is also preferred for patients with severe angular deformities that cannot be corrected with an implant.
• Total ankle replacement (TAA) is ideal for patients over 45 (preferably 55+ years old) who have arthritis but remain relatively low-impact in their activities. This procedure is beneficial for those who wish to maintain ankle motion while relieving pain.
• Patients with arthritis in surrounding joints often experience better outcomes with ankle replacement since preserving motion reduces stress on other joints.

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Pre-Operative Planning for Total Ankle Joint Replacement

Before undergoing total ankle replacement surgery, patients undergo a comprehensive evaluation, including:

• Vascular and Neurologic Health: Poor circulation or neuropathy can increase the risk of complications.
• Skin Integrity: Previous skin grafts, poor healing ability, or severe varicose veins may impact candidacy.
• Muscle, Ligament, and Tendon Function: Weakness or instability must be addressed before surgery.
• Bone Quality and Alignment: X-rays, MRIs, or CT scans assess bone integrity and any necessary corrections before implant placement

Types of Ankle Joint Replacements

Dr. Soomekh offers three state-of-the-art ankle replacement options to ensure the best outcome for each patient:

1. InBone® Total Ankle Replacement (Wright Medical™): Known for its long tibial stem, providing strong stability and precise placement
2. Salto Talaris™ Tornier System: A low-profile implant that preserves more natural bone structure
3. STAR™ Ankle (Small Bone Innovations): A mobile-bearing implant that allows slight movement, reducing joint stress