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foot-ankle.biz > FAQ - “Frequently Asked Questions”

FAQ

What types of prostheses are used?

We use the latest generation of prostheses. In a primary operation, we use anatomical, unconstrained, uncemented three-component prostheses. Only in cases were extensive bone changes are required, a custom prosthesis will be created. These prostheses are specifically developed for the patient. The decision on the type of prosthesis will be made based on the radiological characteristics.

How often do you perform TAA / TAR surgery?

We perform at least 4-6 TAA / TAR surgeries per week making us one of the world-leading clinics. This is an advance to patients as all operations are performed by a highly skilled surgeon.  

What if the prosthesis loosens sooner than expected?

It has been documented for the past 12 years that even the oldest prosthetic model, which is no longer used in our clinic, has a “survival rate” of up to 95%. This corresponds with the loosening rate of 0.5%, which is comparable with the knee and hip replacement. In a multi-center analysis, it has been determined that there is a revision rate of 2% per year. There is a possibility of the prosthesis loosening; in these cases the prosthesis could be replaced.

How soon after surgery will I be able to drive a car?

The first six weeks should adhere to partial weight bearing, which is done to avoid unnecessary disturbances of the prosthesis. It is recommend that excessive movement can only take place once the prosthesis has grown into the bone.

How long after surgery should I wait before continuing with daily activities?

Once surgery has been performed, the prosthesis will not be completely stable and therefore we advocate partial weight bearing for duration of six weeks. This is implemented, so that there is no disturbance between the prosthesis and bone.

How long will I be required to stay in hospital?

Hospital stay varies between 5-8 days.

Do I need to complete a rehabilitation treatment after the surgery?

A post-operative treatment is generally required. Most patients carry out an outpatient physical therapy in the city where they live. Upon request an appropriate treatment will be applied. This only occurs when certain conditions are met.

What are the risks?

The risk of complications depends on the blood perfusion of soft tissue condition (scar, wounds, etc), co-morbidities (diabetes mellitus, etc), lifestyle (smoking, etc) and existing deformities. Due to large number of influencing factors an individual risk profile can be determine with the assistance of a clinical and radiological examination.

In general, the infection rates for such interventions average around 2-7%. Through careful analysis and vast experience in this field of ankle arthroplasty, our complication rate with respect to the infections is less than one percent. 

Will my health insurance pay for the surgery?

The surgery is usually paid by all health insurances. However with some public health insurances, the travel cost will need to be paid by the patient. In certain cases, the travel cost could be partially or fully paid by private health insurance or a professional association (in terms of work accidents). Foreign Patients will be invoiced as “self payers”.

 

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We will gladly answer any additional questions. Please be informed that the above answers are subject to changes.