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  • Ankle Replacement and Treatment

    I subscribed to this list a while back while looking for data on ankle
    fractures and recieved alot of good information. I am writting to ask for
    some info and advice on an ankle fracture that I recieved in May of 2002.

    The kayaking accident resulted in the fracture of the Tibia/Fibula on the
    left ankle and Tibia/Fibula/Talus of the right. The issue that I am most
    concerned with is in the right ankle.

    The Talus was broken in half and the back part dislocated and rotated about
    90 degrees. I underwent 2 surgeries and still have 3 screws in the talus of
    the right ankle. Recently, on a checkup because of some severe arthritis, i
    found that i have avascular necrosis in the top portion of the talus on the
    right ankle. I have a MRI and CT scan scheduled for later this month to
    find how much necrosis is present.

    This brought up the options of some minor things, along with some options in
    anke fusion and total ankle replacement. This is why i am writting to this
    group. The prospects of fusion seem to limit me in the future and being I
    am reletively young, 30 years old, I would like to not have such a premenat
    thing done. So I am thinking that total ankle replacement would be the best
    option, but i am wondering about where the best studies are being done and
    if any of you know of any type of trial or experimental type of ankle
    reconstruction that is happening and what universities and hospitals might
    be best in this regard.

    I very much appreciate your time and any assistance that you might offer.

    Regads,
    John Kiffmeyer
    Asheville, NC
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