Welcome Patient Education Inbone™ Total Ankle ENDO-FUSE™ Intra-Osseous Fusion System Patient Stories Locate a Surgeon Patient Brochure (.pdf)

Patient Stories

Melody - INBONE™ Total Ankle replacement

Almost everyone is aware of key implant options that exist to replace a person’s arthritic hips and knees, but patients suffering from ankle osteoarthritis didn’t have many options until recently. However, technological advancements are changing the way this condition is treated, which makes Tim, a 55-year-old golf course superintendent, thankful.

Tim was always an active person. In high school, he played basketball, baseball, golf and continued actively playing both basketball and softball into his 40’s. He also spent much of his free time running local road races and coaching basketball. However, at age 41 he started to experience discomfort in the ankle he injured as a teenager. Gradually, the pain became more intense and prevented him from fully participating in all of the activities he enjoyed.

Tim underwent a surgical procedure in January of 2005 on his ankle joint with the hope that it would relieve the pain he was experiencing each day. Although he felt some initial relief, the pain and swelling in his ankle came back with greater intensity. When he sat down for an extended period of time, he found it difficult to stand. He was forced to give up coaching because he couldn’t stand for prolonged periods of time or run up and down the sidelines. His running career hit an abrupt end and he couldn’t even walk the golf course any longer. In fact, he began walking with a limp and simple everyday tasks, such as getting the mail, were becoming increasingly difficult.

Each day Tim grew more frustrated by his inability to lead an active full life. Although he was undergoing physical therapy, it wasn’t enough. He began researching options to treat ankle osteoarthritis and learned about the cutting edge technology that Dr. Stephen Brigido used to treat patients.

After examining his ankle, Dr. Brigido suggested that Tim consider an INBONE™ Total Ankle Replacement. Tim didn’t realize that artificial ankles existed and had the potential to relieve him of his pain. After some consideration, Tim decided to proceed with the ankle replacement in April of 2008. The results have been outstanding, in Tim’s opinion.

Shortly after surgery, Tim began physical therapy and the mild post-operative pain quickly subsided. Within several weeks he was walking with the assistance of an orthopedic boot. Each day he felt his ankle getting stronger and he gradually began re-engaging in his favorite hobbies. Tim said, “It is amazing how much better I feel without the throbbing pain in my ankle. I had forgotten what it was like to enjoy recreational activities without pain.”

Today, Tim is able to walk and play golf and no longer struggles to walk the golf course where he works. Everyday tasks are no longer as challenging and he no longer walks with a limp. Tim is thrilled with his artificial ankle and is grateful to be able to enjoy his hobbies once again.

Tim was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

The prosthesis consists of two main pieces: a tibial component and a talar component. The tibial component features a high strength polyethylene piece secured within a titanium holder. A long titanium stem securely anchors this half of the implant within the tibia. The talar component is an anatomically shaped, highly polished cobalt chrome piece which also features a stem. The talar stem is inserted into the talus (ankle bone) to securely anchor this half of the implant. Once installed, the smooth plastic surface of the tibial component rotates effortlessly on the highly polished metal surface of the talar component, resulting in smooth, fluid movement.

Only a physician can tell you if this product and associated procedure are right for you and your unique circumstances. Please consult with a physician for complete information regarding benefits, risks and possible outcomes.

Forty years ago, Ronald was working in a manufacturing plant when he jumped off a fork lift and landed awkwardly on his right ankle. He immediately felt a surge of pain and assumed that it was broken. His boss underestimated the injury and handed him some arthritis pills to help him manage the pain. Ronald took the pills for a month while the bone healed incorrectly.

Since then, not a day has gone by that Ronald has not been in pain. He was forced to wear high top shoes to alleviate the pressure on his ankle and often fell while walking. Stairs were a problem, forcing him to climb or descend sideways. “It was as if I was walking on broken glass all the time,” Ronald said.

Over time, after the pain spread to Ronald‘s neck and back, he visited a chiropractor for some help. Learning that his new problems were caused by his original ankle injury, Ronald had finally had enough. He did not want to spend another minute in pain and scheduled an appointment with Dr. Craig Breslauer, a podiatrist at South Florida Orthopedics.

Ronald’s x-rays were eye-opening: he had severe arthritis, a few bone spurs and no cartilage left in his ankle, which explained why it felt as though he was always walking on glass. Dr. Breslauer recommended an INBONE™ Total Ankle Replacement. The INBONE™ implant design closely matches that of a natural ankle, allowing patients flexibility and mobility as they walk.

Ronald underwent the procedure in July of 2009 and was able to return home the following day. Ronald was given pain medication for the procedure but only needed one pill. In fact, Ronald was so impressed by his new artificial ankle that he recommended the INBONE™ ankle replacement to one of his friends.

Four months post surgery, Ronald is a changed man, able to walk on his own without pain for the first time in forty years.

“My new ankle has been absolutely fabulous. I’ve had no pain since the surgery and everything went terrific,” he said. “The results have been absolutely fantastic. I no longer feel like I am walking on glass.”

Ronald was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

Most people are aware that the know-how exists to replace arthritic hips and knees, but patients suffering from arthritic ankles haven’t had many options until recently. However, technological advancements are making ankle replacements a successful treatment for some patients, including Harry, a 68-year-old resident of South Bend, who endured decades of pain and suffering.

Approximately 20 years ago, Harry suffered a compound fracture in his ankle and leg after falling off a roof. Initially, his injuries healed and he resumed his quality-of-life, which included football games at neighboring Notre Dame and playing golf regularly with his sons. However, arthritis began to set in and eventually Harry began slowing down.

As Harry’s arthritis got progressively worse, he developed a limp and found that golfing with his two sons was enormously difficult. If he played nine holes, he needed to elevate and ice his ankle for two days. Attending football games was no longer an option because he couldn’t climb the stairs of the stadium. Ibuprofen and aspirin did nothing to alleviate the constant pain and his immobility led to a 35 pound weight gain. When he could no longer enjoy golfing and began waking with the pain, he knew he had to find a better solution.

Harry sought the help of several physicians. One suggested fusing his ankle, but Harry wasn’t quite ready to undergo a procedure that would leave him with a permanent limp. Then he met with Dr. Jeff Niespodziany who, after examining his ankle, suggested an INBONE™ Total Ankle Replacement from Wright. Harry discussed it with his family, who encouraged him to undergo the procedure. Figuring the only thing he had to lose was the pain, Harry scheduled surgery for September 11, 2009 and the results, according to Harry, have been great.

Harry woke from the operation without the constant arthritic throbbing in his ankle. As he says, “I forgot what life was like without the pain.” After several days in the hospital, he was released and began his physical therapy regimen. Each day he feels his ankle getting stronger and he has begun re-engaging in his hobbies. Now, instead of watching the Notre Dame football game on television, he is attending with his family. However, he is really looking forward to teeing off this spring with his sons at the local golf course. “I am so thrilled to have my life back,” he said. “My ankle replacement is allowing me to live out the retirement of my dreams!”

Harry was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

Most people are aware that the technology exists to replace arthritic hips and knees, but patients suffering from ankle osteoarthritis didn’t have many options until recently. Technological advancements are changing the way severe ankle osteoarthritis is treated and sufferers like Dr. Richard Pressley, a retired neurosurgeon from North Carolina have benefitted greatly.

Dr. Pressley was an extremely active person, but between medical school and family life, he didn’t always have time to pursue his hobbies. When he got the opportunity to go skiing toward the end of his residency in 1971, he didn’t hesitate to accept. In what turned out to be a life-changing trip, Dr. Pressley broke his leg and, subsequently, developed a deformed ankle. (Because he was in the middle of his residency, he was unable to stay off his feet and, as a result, his ankle did not heal properly.) He spent years in pain, but was forced to keep moving—literally!

During his career, Dr. Pressley spent hours standing performing delicate surgeries and conducting the follow up care that was needed for his patients. Every time he felt pain, he kept moving forward. Although the pain was significant at times, his dedication to his patients and to his family carried him through the early stages of ankle osteoarthritis. However, in 2005, more than three decades of agony finally caught up with him.

Each morning Dr. Pressley felt a sharp pain that would start at his throbbing ankle and shoot up his leg. He ended each day by icing and elevating his ankle and when he tried to sleep, any slight movement would cause sharp shooting pains that kept him awake for hours. Over-the-counter and prescription medication failed to offer any type of relief.

Frustrated by his inability to live life, he began researching options. One surgeon suggested that Dr. Pressley undergo an ankle fusion; a procedure that fuses two bones together but limits the range of motion and flexibility of the joint. Dr. Pressley was reluctant to undergo a procedure that would be so limiting. After hearing his concerns, his surgeon offered an alternative suggestion. He informed Dr. Pressley about a physician who was offering patients a total ankle replacement, Dr Robert Anderson in Charlotte. After learning about this option, Dr. Pressley scheduled a consultation.

After examining his severely damaged ankle, Dr. Anderson suggested treatment with an INBONE™ Total Ankle Replacement. After reviewing the literature and discussing it with his wife, Dr. Pressley made the decision to move forward with surgery.

The surgery took place on Aug. 30, 2008 and since then, according to Dr. Pressley, the results have been outstanding. He awoke from surgery and immediately noticed that the throbbing pain experienced for decades was gone. Six weeks after surgery, he was walking with the assistance of a boot. Ten weeks after the operation, he was exercising on a stationary bike and walking without aides.

Today, instead of icing and elevating his ankle, Dr. Pressley is enjoying his retirement. He enjoys regular walks with his wife and traveling. Most importantly, he is enjoying his hobbies of model ship building and woodworking – which were nearly impossible prior to his ankle replacement. As Dr. Pressley says, “Since having my ankle replaced, each day I wake up with renewed energy, and I am enjoying my retirement more than ever!”

Dr. Pressley was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

Many know that hip and knee replacement affords its recipients astounding improvements in quality of life upon recovery. What is lesser known is that, now, total ankle replacement is transforming the lives of ankle pain sufferers across the country. One local recovery story is that of Columbia, South Carolina resident, Elizabeth Lucas.

In 1976, Elizabeth took a bicycle ride that would change her life forever. Making her way up a steep hill, Elizabeth’s bike hit a rock. To cushion the fall, Elizabeth pushed all of her weight on to her ankle. However, once she hit the ground, she was unable to move. Luckily, a neighbor caught a glimpse of Elizabeth and brought her home. Only skin and soft tissue kept her foot together. Hours later, Elizabeth went to the hospital, where the attending physician had to hold her ankle with both hands to prevent it from breaking further. Elizabeth was in excruciating pain; her ankle joint had broken in nine different places.

The following day, Elizabeth underwent a surgical procedure where the surgeon placed a screw inside her ankle to stabilize it. However, Elizabeth continued on with her life in pain, unable to lay her foot flat on the ground and to participate in the daily activities such as cooking and grocery shopping that brought her the most joy.

Thirty years passed before Elizabeth saw a new surgeon, who chose to remove the screw in Elizabeth’s ankle, hoping it would alleviate pain. Unfortunately, it made no difference. At her daughter’s wedding three years ago, when Elizabeth could only dance with her husband for two songs, she became convinced that further medical inaction would increase the likelihood of being limited to crutches or a wheelchair in the near future. She sought advice from Dr. Robert Santrock and Dr. William James with the Midland Orthopedic Group of Blythewood, South Carolina.

Sandtrock and James agreed that Elizabeth’s best option was an ankle replacement. Having been unaware that such an option existed, on July 14, 2008, Elizabeth underwent ankle surgery using the INBONE™ Total Ankle System. The system offers a unique prosthesis which allows recipients to experience smooth and fluid movement of the ankle upon recovery.

Six months after her surgery, Elizabeth no longer depended on railings and countertops for stabilization and is able to stand with her foot flat on the ground. She happily returned to activities she had been unable to participate in for years. Elizabeth recalls when she would depend on other shoppers to help her reach items she wanted to buy. Now, Elizabeth joyfully assists those that need help when she is at the grocery store, knowing what it feels like to be unable to partake. She gloats, “Thirty-two years is a long time to have to wait for an ankle replacement and to have it be a success. Dr. Santrock promised to give me my life back and he is a man of his word!”

Elizabeth was treated with an INBONE™ Total Ankle replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

These results are specific to this individual only. Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. There are risks and recovery times associated with surgery and there are certain individuals who should not undergo surgery. Only a physician can tell you if this product and associated procedure are right for you and your unique circumstances. Please consult with a physician for complete information regarding benefits, risks and possible outcomes.

Most people are aware of the technology that exists to replace arthritic hips and knees, but patients suffering from ankle osteoarthritis didn’t have many options until recently. Recent technological advancements are changing the way severe ankle osteoarthritis is treated. Andrew is a patient who has benefited from the advancements in total ankle replacement technology.

Andrew was living the retirement he always dreamed. He was traveling with his wife, playing ball with his grandchildren and volunteering with local charities. In fact, he had never been happier. Retirement was everything he hoped it would be. All of that changed in November 2007 when Andrew fell out of a bucket truck while volunteering with the American Legion. He fell nearly 11 feet and broke his ankle upon impact. After doctors fitted him with a cast and set his ankle, Andrew thought he would be climbing ladders again within a few months. However, severe arthritis set in nearly immediately leading to a year of agony.

Each night Andrew woke up multiple times with sharp, shooting arthritic pains in his ankle. Every step he took caused him agonizing pain, and even simple activities such as walking to the mailbox or going to the grocery story were enormously difficult. He ended each day by icing and elevating his ankle for over an hour. Painkillers didn’t offer him even temporary relief, and his retirement was becoming isolated and depressing. When he sought the help of a local physician, Andrew was devastated when he was told he had no other options other than to live with the pain.

Frustrated by his inability to live his life and the months of chronic, debilitating pain, Andrew began researching the latest treatments for severe ankle osteoarthritis and discovered Dr. Craig Radnay at Long Island Jewish Hospital, who was known for his use of cutting-edge technology to help his patients.

After examining his ankle, Dr. Radnay suggested that Andrew consider an INBONE™ Total Ankle Replacement. Andrew was thrilled to learn about an option that would allow him to return to the active and full retirement he enjoyed prior to his accident. Andrew scheduled his surgery right away, and he received his INBONE™ Total Ankle Replacement on December 30, 2008. The results have been amazing.

Andrew woke from the operation without the nagging, throbbing pain he experienced for an entire year. As he says, “I had forgotten what my life was like without pain in my ankle. It was truly wonderful to wake up without it” Within weeks of surgery, Andrew was doing physical therapy and walking with the assistance of an aide. Four months post- surgery, he was walking unassisted and without pain for the first time in more than a year. Andrew and his family are amazed at the significant difference the INBONE™ Total Ankle has made in his life.

Today he spends his days helping his children with their home repairs, and he is still actively volunteering with the American Legion. His four grandchildren are thrilled he is once again able to play baseball with them and attend their little league games. Andrew’s wife is also delighted that they have been able to resume traveling and their active lifestyle. Andrew states, “I would encourage everyone I know to seek out alternative options. I am so happy that my search for a treatment option led me to Dr. Radnay and the INBONE™ Total Ankle Replacement.”

Andrew was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement intended to stand the test of time.

I developed disabling traumatic arthritis as a result of a skiing accident over 15 years ago.

Six years ago Dr. Reiley and I discussed the state of ankle joint replacement and its discouraging failure rate. Although I was becoming increasingly disabled, unable to walk more than a city block - and that with difficulty and residual pain - I elected to wait for the FDA approval of his new INBONE™ ankle replacement.

I had my "Total Ankle" surgery a year ago and am delighted with the results! I am pain free and able to walk over a mile and sail my boat on the open ocean with no difficulty. This surgery has opened (or reopened) a whole new world for me!

I'm particularly grateful for Dr. Reiley's persistence and support as well as for the genius that created the new device

Sincerely,

William R Forsythe, M.D.

The first time that I walked without pain in 10 years was after I received my new INBONE™ ankle. Seven months post-op, I was playing golf, and walking the course.

Terry W. Hensle, MD, New York, NY

I had an ankle replacement with another product 4 years ago and I was still living with daily pain. I walked with a limp and on the outside of my foot because my ankle would roll over.

Since my surgery with the INBONE™ ankle I am now pain free, the first time in over 4 years. I can walk normal with my foot straight and I no longer have a limp. I can finally return to living my active daily life.

Robin

The ankle is a God send.

Jerry

After a lifetime of foot/ankle pain and limitation due to a congenital defect (tarsal coalition), I spent two years carefully researching the alternatives available for my severely deteriorated ankle joints. Because of the severe malalignment, it was clear that the other ankle replacement models would not work. Until I learned of Mark Reiley’s INBONE™ model, I was preparing for double amputation in hopes that I would have less pain and be more mobile with those prostheses.

I was unable to walk even a block without excruciating pain and used a mobility scooter to get around inside the house. I used motorized carts in grocery stores and a wheelchair in public facilities like airports, hotels, museums, galleries, etc. Severe pain (8-9 of 10) was constant in my increasingly limited daily activities. I took prescription anti-inflammatories and Vicodin just to get around the house, and Neurontin when the nerve pain was worse at night. While these medications helped, the chronic pain had a very negative effect on my mental and emotional well-being, in addition to severely limiting my physical movement and activities.

At my first consultation with Dr.Reiley in May 2006 he determined that the INBONE™ was a good match for my ankle problems, and we scheduled the first surgery for July 2006. Because my insurance company considered ankle replacement to be “investigational”, I had to go through the entire appeal process before it was approved. Finally, in February 2007 I received my first INBONE™ ankle and was weight-bearing at 8 weeks. I’ve had no pain, swelling, or other problems during the recovery period. In fact, with only one good ankle, I enjoyed the most active and pain-free period in the last 20 years. For example, I was able to pick blueberries on rough ground, walk for an hour through the Saturday Market, do my grocery shopping standing up, entertain overnight guests, and I’ve had more energy than I can remember!

In October 2007 I received the second INBONE™ ankle and the early part of the recovery has been exceptionally smooth and pain free. Next week I’ll be out of the cast and learning to walk on my own two new feet! I’m looking forward to a full and active life with functional ankles for the first time ever!

Jeanne St. John, Ph.D, Newport, OR

For anyone that plays basketball, spraining one’s ankle can be a common occurrence. Steve, 63, can attest to that. When he began actively playing back in the 60’s, Steve frequently suffered from sprained ankles. His solution was to tape them or wear a brace. He loved the sport and refused to let the pain keep him off the court, that is until ten years ago when the pain in his ankles refused to subside.

Steve twice went to the orthopedic surgeons to have bone spurs removed, hoping that would help with the pain. When that did not work he went to several local physicians to consultabout his options. Since Steve was only in his early 50’s his physicians felt he was too young to undergo a total ankle replacement since the implants available on the market at the time only proved to be effective for four years or less. Steve decided to tough it out and took Celebrex to help with the pain and swelling.

As an anthropology teacher at a local community college in Cheyenne, Wyoming, Steve had difficulty performing his job. The campus is laid out on a large area of land, requiring him to walk long distances to get from one classroom to the next. Standing on his feet all day also started to become a problem, causing his ankle to swell up so much that by the end of the day, he could barely walk.

Finally in 2007, his daughter did some research on ankle replacements and came across the INBONE™ Total Ankle. Having watched her father suffer for so many years, she convinced him to look into the new replacement. During his research, Steve found Dr. James DeOrio at Duke University in Durham, N.C. Since Dr. DeOrio had completed the most INBONE Total Ankle replacements, Steve decided to fly all the way to North Carolina from his home in Colorado to meet with him. On May 22nd, 2008, Steve had his ankle replaced at the Duke University Medical Center.

He remained in the hospital for 24 hours and was able to return home to Colorado after only three days. Steve is a member of a local rock ‘n roll band and was eager to get back to playing keyboards. After only two weeks, Steve was back on stage, his foot elevated on the keyboard amp while he played. His quick recovery continued and after eight weeks, he was walking around without crutches and more importantly without any pain.

"It’s amazing," Steve said. "For the first time in ten years I can walk up and down the stairs without having to hang on to a rail. I marvel at it. The whole family thinks it’s a miracle."

Steve has since returned to school for the new academic year. For the first time, he no longer has to leave extra time in between classes to walk across campus. According to his students and colleagues, this is the healthiest Steve has looked in years. As a whitewater canoeist, Steve can finally get back to fighting the rapid currents rather than the chronic pain in his ankles.

Steve was treated with an INBONE™ Total Ankle replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE engineers designed a total ankle replacement that could stand the test of time.

Charlene and her husband were enjoying retirement. They traveled, had their family over for Sunday dinners and socialized regularly with friends. All of that changed on December 3, 1999 when Charlene fell down the stairs and broke her ankle in three places. Even after surgery and several months of physical therapy Charlene was still in pain. She believed her ankle wasn’t healing properly and made a follow-up appointment with her orthopedist. X-rays revealed she had ankle osteoarthritis. Her doctor suggested an ankle fusion to alleviate her pain but couldn’t guarantee her quality of life would improve. Charlene decided against undergoing a procedure that would limit her ankle’s range of motion without significant improvements to her quality of life. Despite medications, orthopedic casts and multiple consultations with surgeons, Charlene didn’t experience a single pain-free day for nine years.

Each morning when she put her foot on the floor to get out of bed Charlene experienced mind numbing pain. To walk from her bedroom to her kitchen, or from the car to a restaurant, she relied on crutches and a heavy, cumbersome boot. For longer trips to the mall or to the grocery store she needed a wheelchair. At church she was forced to sit in the back pews because she couldn’t endure the pain that walking to the front caused her. In addition to her limited mobility, Charlene gained twenty pounds.

Frustrated by her inability to live her life and the years of chronic, debilitating pain, Charlene was nearly ready to undergo an ankle fusion. However, because two years passed since her last consultation, she decided to schedule an appointment with Dr. Drew Murphy, hoping there was an alternative to ankle fusion.

After examining her ankle, reviewing her case history and viewing her x-rays, Dr. Murphy suggested Charlene consider the INBONE™ Total Ankle Replacement. Excited about an option other than an ankle fusion, Charlene brought home the literature to review with her husband. They were both impressed by the INBONE™ technology and the success of other INBONE™ ankle patients. After an in-depth discussion, they decided the only thing Charlene had to lose was the pain in her ankle. The next day she scheduled her surgery. Charlene received her INBONE™ Total Ankle Replacement on February 19, 2008. The results have been outstanding.

The night of Charlene’s surgery she awoke for the first time in nine years without throbbing pain. Eight weeks post surgery she took her first steps with the assistance of a walking boot. She could hardly believe that she didn’t have any pain. In fact, she had forgotten what it was like to walk from room to room in comfort. Fourteen weeks post surgery she was walking using a small brace, and within five months she was walking without braces, walking casts and most importantly, without pain. Charlene can hardly believe how far she has come in just over six months.

Today Charlene walks four to five mornings a week on her treadmill and has lost ten pounds. She and her husband enjoy hosting their children, grandchildren and great-grandchildren for Sunday dinners. During a recent trip to a family pizzeria she kept up with her great-grandchildren. Once again, Charlene and her husband are planning trips and socializing with friends. This is the retirement life that they envisioned, and now she is healthy enough to enjoy it.

Charlene was treated with an INBONE™ Total Ankle Replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, engineers designed a total ankle replacement intended to stand the test of time.

George, 60, spends his entire day on his feet as a Cable TV technician. His job requires constant mobility and agility while climbing up and down ladders. For the past four years George has suffered from rheumatoid arthritis which eventually progressed to osteoarthritis. In fact, his arthritis was so severe it broke down all the cartilage in his ankle. George could no longer walk without pain. His ankle had swollen to the point that not even his arthritis medication could ease his pain.

After 3 years of suffering, George could no longer bare to have arthritis take over his life. He consulted Dr. Steve Brigido at Coordinated Health to discuss his options. Dr. Brigido informed George that, due to the severity of his arthritis, he had no other option but to fuse or replace his damaged ankle. At this point, ankle implants were relatively new technology and lacked a proven track record. This left George with only the option of ankle fusion. George was not ready to make such a drastic decision so he continued to suffer through another year of pain. After a year had passed and George’s pain had further increased, he knew it was time to make a decision. It was when he returned to Dr. Brigido to further discuss an ankle fusion that Dr. Brigido informed George of a new implant known as the INBONE™ Total Ankle. According to Dr. Brigido, the INBONE™ Total Ankle had reduced the survivorship risks associated with the previous implants. George took Dr. Brigido’s advice and decided on the INBONE™ Total Ankle. George received his implant on May 20, 2008.

After ankle replacement surgery, George was back to work full time in just over eight weeks. Before his surgery, George anticipated his return to work to be a struggle. Knowing that he would be on his feet all day, he wasn’t sure how his new ankle would hold up. Since being back to work, he has not had any issues carrying on his daily activities. “Compared to the state my foot was in before my surgery, it’s as if I have an entirely new foot!” George exclaims. He now enjoys all family activities without ankle pain.

George was treated with an INBONE™ Total Ankle replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ engineers designed a total ankle replacement intended to stand the test of time.

Melody, 55, has suffered from rheumatoid arthritis and osteodiabetes for many years. As a result, she became very familiar with the pain and tripping caused by weakened bones in her legs and feet. It became such a part of her life that - when her ankles started hurting - she ignored the discomfort and lived for more than seven years with a severely restricted quality of life.

When she went to a routine check up with her physician, she finally mentioned the pain. After x-raying Melody’s ankle, her physician referred her to an orthopedic surgeon, who explained that this type of ankle pain is not uncommon in patients with rheumatoid arthritis and could be corrected. He went on to explain several surgical options to Melody, including a procedure called INBONE™ Total Ankle replacement.

Melody was “shocked that there was [a procedure] out there that could do something about the pain.” After doing some research online, Melody decided within days to schedule the surgery. Three weeks later, at the Kimball Medical Center in Lakewood, New Jersey, Melody underwent an INBONE™ Total Ankle replacement procedure. She felt minimal pain during and after the total ankle replacement surgery and was even able to “hobble around” afterwards. She initially recovered in a wheelchair because crutches would irritate the arthritis in her arms, but she progressed to a walker only two months after the surgery.

A skier before her ankle problems, Melody was forced to eliminate the hobby because she could not stand for a long period of time. Now, thanks to the surgery, she can stand up much longer and is considering taking up new hobbies.

Thanks to the success of her first operation, Melody underwent a second INBONE™ Total Ankle replacement procedure – this time on her other ankle. She is looking forward to the amazing recovery she experienced as a result of the first procedure. Melody has recommended the INBONE™ Total Ankle replacement procedure to several friends and has received overwhelmingly positive responses.

Melody was treated with an INBONE™ Total Ankle replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ ankle team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ ankle engineers designed a total ankle replacement to stand the test of time.

The prosthesis consists of two main pieces: a tibial component and a talar component. The tibial component features a high strength polyethylene piece secured within a titanium holder. A long titanium stem securely anchors this half of the implant within the tibia. The talar component is an anatomically shaped, highly polished cobalt chrome piece which also features a stem. The talar stem is inserted into the talus (ankle bone) to securely anchor this half of the implant. Once installed, the smooth plastic surface of the tibial component is designed to rotate on the highly polished metal surface of the talar component, to allow for a smooth, fluid movement.

Even at the age of 76, John still loves the smell of the ice and the sound his skates make as he glides across the rink. John has spent 61 years of his life in a pair of ice skates. He started off as a hockey player and has since channeled his passion for the sport as a girl’s high school hockey coach. A mere two years ago, John feared that all of that would be taken from him when he started developing arthritis in his ankle. The pain was so debilitating, he was forced to hold onto the boards in order to keep his balance while teaching.

As an active gentleman, John knew he could not let his arthritis keep him down. He started taking prescribed medication and seeing a physical therapist in hopes of controlling the pain. John also consulted his physician about an arthroscopy. An MRI showed that John’s ankle was worn down to bone on bone. He chose to have arthroscopic surgery which, for a long period of time, provided only a little relief. Only two viable options remained, ankle fusion or a total ankle replacement. The idea of an ankle fusion did not excite him in the least. John feared he would feel as if he were walking with a ski boot on for the rest of his life.

John came across an article in his hometown paper discussing total ankle replacement, and he decided to learn more about this new technique. He met with Dr. John Reach at Yale New Haven Medical Center. Dr. Reach felt that John would be a perfect candidate for an ankle replacement and recommended the INBONE™ Total Ankle System. According to Dr. Reach, the INBONE™ Total Ankle had solved the longevity issues associated with the previous implants.

John, however, was still reluctant to go though with this procedure. He decided to contact other folks who have had a total ankle replacement. Upon hearing their stories of success, John decided to undergo the surgery. In May 2008, Dr. Reach implanted John with the INBONE™ Total Ankle.

By August of that year, John was playing golf several times a week. He continues to work out at the gym where he trains on the elliptical and treadmill. He can swim, bike and, most importantly, he can teach his hockey team without standing against the boards. Now, he is right in the center of the rink doing what he does best. Throughout his recovery, John felt little pain and discomfort. “It means so much to get back to a normal life again,” says John. “My family and friends are taken aback by my success. Everything has just been wonderful and Dr. Reach is absolutely outstanding. This really worked for me!”

John was treated with an INBONE™ Total Ankle replacement. Until recently, there were limited options for ankle replacement in the U.S. The INBONE™ Total Ankle began as a leading foot and ankle surgeon’s quest to provide a viable surgical solution to ankle arthritis patients for pain reduction and restored mobility. The INBONE™ team carefully studied previous ankle designs to determine the causes of implant failure. With that knowledge in hand, and using design elements already proven successful in hip and knee implants, INBONE™ engineers designed a total ankle replacement intended to stand the test of time.