Total Ankle Replacement issues

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was wondering if anybody has had a Total Ankle Replacement recently, I had mine done on 24/11/14 and ive as yet had NO  physio. Ive been out of my aircast boot since 6/1/15 and my first physio appointment is not untill 28/1/15. was wondering how long other people have waited for physio after surgery..my foot seems to be healing well but really struggling to weight bear at the moment, (im 41 yrs old) any advice would be appreciated 

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  • Posted

    Hi. I had my TAR done 14/12/13 and the first physio was 6 weeks later to try partially weight bearing with two cruthches. Prior to this I'd been strictly no weight bearing. Physio exercises started about two weeks later. I don't think you should be in any hurry to weight bear. It's a long road ahead. If your leg has lost a lot of muscle tone, as mine did, you could try building up the muscles which will help when you do start walking. I hope this helps.
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    • Posted

      Thanks for the reply, I have been given no info of the hospital re: physio. I had my opp in a hospital 50 miles from where I live in the UK (Liverpool) and my physio should be in my local hospital, there seems to be no communication between the two. A lot of people I've spoken too say physio should start about 4-6 weeks post opp...
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    • Posted

      Mine was done in the North East. I requested Physio at the hospital where the op was performed rather than my local hospital and I also asked for a physio who was familiar with the procedure as TAR is still quite rare compared to hips n knees. You could try phoning your local physio dept for help. Not sure who you've been talking to ie docs or friends but 4 weeks is a bit too soon. Unless your prosthesis was cemented in it takes 6 weeks for your own bone to grow into the implant and "fix" itself. 
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  • Posted

    Hi.  I had my TAR done on Dec. 4, 2013.  3 weeks later I was in an airboot and after 3 more weeks was walking in normal shoes and gradually built up strength just through increased walking distances up to about 5 miles daily.  My doctor never wanted me to do any physical therapy which surprised me but my results have been steller.  I am 13 months out and extremely active and no pain.  I am 61 years old.  I feel very fortunate.
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  • Posted

    I had my TAR done in Glasgow (100 miles from home) on 13/12/14. I was told to put my full weight on it  from next day. Initially I had a plaster back slab but after a week was fitted with a moonboot. I was told I could dispense with that last week - 29/1/15 and am now walking unaided in normal shoes, although there is quite a bit of swelling and getting into shoes is difficult. I see the surgeon again in 5 weeks but she told me that physio probably would not be necessary: gradually increasing the distance I walked would be sufficient. She said to walk as much as I could but to cut back if it was too painful or there was increased swelling. So far I've only walked around the house and for a few hundred yards outside. I'd be interested to hear waht kind of physio you get.
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    • Posted

      Hi frank, how are you getting on now with walking and are you suffering any lasting pain? I had my TAR in Nov 14 the pain I'm feeling now is getting unbearable, currently on tramadol tablets and getting physio once a week, I'm still walking with a stick and still unable to return to work(production line worker Jaguar/Landrover) .hope you are getting better, hope to hear from you soon through this forum. Take care wayne
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    • Posted

      Hi Wayne, Just wondering how you are getting on. My implant hasn't bonded with my bone so it's back into hospital in June for me 😫 The pain, like yours, just keeps getting worse so the surgeon is going to replace the prosthetic. 18 months on and no farther forward. So fed up 😢
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  • Posted

    Hello Wayne

    I saw the surgeon for the final time yesterday and she seemed pleased although she's referring me to a podiatrist for a consultation. Twice last week I walked the dog for 2 miles or so through the woods. I've just finished cleaning all the outside windows using stepladders and I've spent half an hour splitting logs for the woodburner. So I think I'm doing OK. But I do still get pain at the side and back of the ankle. As I sit here it's throbbing gently although I don't need painkillers but I probably won't do much more today. I guess it will take time for the swelling to disappear completely and the wound still has a small scab on it.

    I'm sorry to hear that things don't seem to be going so well for you. Do you know who manufactured your prosthesis? Mine was made by an American company called Wright Medical which my surgeon uses exclusively because she thinks their product is the best.

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  • Posted

    I had an ankle replacement on 3rd Dec 2015. The surgeon had done 70 previous implants and used the latest BOX prosthesis. We discussed implant life and he feels that the hardware is still developing (we're now in generation 4)  and the 10 year figure commonly quoted is a rolling historical average that will be exceeded by later implants. 

    I was forbidden to put ANY weight on it for 4 weeks and then gradually load it up first to half and then full bodyweight over a further period of 3 weeks.

    The only pain I have experienced is from previously wasted muscles and tendons as they are put under new pressure, but these are now slowly but surely recovering .

    It's now just over 3 months since the procedure and I have been walking entirely unaided for a couple of weeks (no sticks) and whereas I was initially very slow with limited range, this is now rapidly improving.

    ​Indeed I  yesterday spent a couple of hours shopping with my wife unaided and on foot in the local mall.

     So, I'm very satisfied that things are moving onwards and upwards

    John

     

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  • Posted

    Hi Wayne,

    Aged 67 and had TAR on 12th Feb 2015.

    I was concerned that I had no physio info from the hospital, so got GP to refer me to local hospital.

    Then I spoke to the surgeons nurse who said no physio till the 7 week clinic, then they will advise.

    So, I've started weight bearing and now at approx 50% (at about 5 weeks) when pain allows.  Just going vertical was extremely painful, but that gets better every day.  Now I can walk with one crutch around the house and quite sprightly with two around town.

    Pre-op it was getting worse by the day.  Now it gets better by the day.

    I have imagined a program of Nordic Walking as my main physio activity having been down to 200yds max with a stick.

    Hopefully you are now getting physio attention and all continues to progress.

    We all knew it would be a long road back but I am happy I went this route rather than a fusion (which seemed to be a longer recovery than TAR).

    Take care,

    Paul

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  • Posted

    Hi

    I have mine on 3/3/2015 and I will start the fisio tomorrow, I have a walker from the beginner, I remove the walker to sleep after the first week, now I put almost my total weight and no pain, I have abandoned the boot one week ago and use my hunting boots, I make ankle moves from the second week. Mine is a Salto Tournier I have 54 years old, and my surgery was made in Portugal by Dr. Paulo Amado

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  • Posted

    Daniel

    I hope your hunting boots give as much rigidity to the joint during these early days while the prosthesis is bonding with the bone. My surgeon was very anxious to keep me in a cast for the first 5 weeks and then a boot for another 4 including in bed. I complied because he has done 70 of these procedures and had impressed on me the difficulty/impossibility of a revision

    john

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    • Posted

      Hi John,

      My surgeon, done more than 200 procedures, he was the more experient surgeon in Portugal in TAR.

      I had my TAR 5 weeks ago and I feel very well, sometime I walk with care without the cruches and no pain, only a residual pain in the Aquiles tendon because he make 2 percutaneus incisions, until now I am very happy with the results

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