If surgery can be a gift, my ankle replacement was a gift.

Chris Best
Patient of Dr. Conklin

Foot & Ankle

When it comes to foot and ankle problems, there is no better place to receive care than Panorama Orthopedics & Spine Center. We have the largest orthopedic foot and ankle team in Colorado and within the Rocky Mountain region, with four board-certified and fellowship-trained orthopedic specialists.

Our specialists are uniquely trained to diagnose and treat all acute injuries and chronic conditions of the foot and ankle, in young children and teens, as well as in active adults and seniors. Panorama’s physicians have undergone years of orthopedic residency training, including fellowships in foot and ankle reconstruction. Their experience makes them specially equipped to treat any condition from the toes to the knee, including complex foot and ankle deformities, sports injuries, arthritis, cartilage injuries, bunions and hammertoes.

A common misconception is that when you see an orthopedic foot and ankle surgeon you will be discussing surgery. This is not true! In most cases, surgery is a last resort. In fact, fewer than 10 percent of Panorama patients who see an orthopedic foot and ankle specialist go onto surgery. We have many conservative treatments available. Some of these include: bracing, modifying footwear, orthotics/ inserts, physical therapy, injections or medications. Some patients may also benefit from protection within a boot or a cast.

If surgery is necessary, we offer advanced options at facilities that specialize in orthopedic care. Golden Ridge Surgery Center and OrthoColorado Hospital are the only orthopedic specialty facilities in the region, providing orthopedic-specific physicians, nurses and care teams.

Foot and ankle specialists: Should I see an orthopedic surgeon or a podiatrist?

This is a common question. In addition to orthopedic surgeons, you’re probably familiar with podiatrists, who can also treat foot and ankle conditions. But you may wonder who to see for your care.

One misconception is that people often see orthopedic foot and ankle doctors as surgical care providers versus a podiatrist, whom they associate with non-surgical foot care. Both specialties, in fact, do surgery and sometimes podiatrists perform more surgeries than orthopedic surgeons.

Another common misconception is that your problem is too small to be treated by a foot and ankle surgeon. This is not true! Our doctors specialize in  providing care for common foot conditions such as, toenail problems, neuromas, hammertoes, bunions, plantar fachiits and diabetic foot care.

The difference is that when conservative treatments fail, foot and ankle doctors are trained to provide the next level of advanced surgical care.

Orthopedic foot and ankle doctors take a more comprehensive approach to treating foot and ankle conditions. With their extensive orthopedic training and education, they are uniquely equipped to address both simple and complex problems.

Even when you see an orthopedic foot and ankle doctor, it does not mean you will be discussing surgery. In most cases, surgery is a last resort. In fact, fewer than 10 percent of Panorama patients seeing our orthopedic foot and ankle specialists ultimately need surgery.

The Panorama Difference - A Regional Center of Excellence for Ankle Replacement Surgery.

Ankle replacement is a very unique procedure and is not commonly performed. Panorama Orthopedics is a center of excellence.  Foot and ankle doctors here perform more total ankle replacements than anywhere else in the Rocky Mountain Region.

Ankle arthritis does not need to be a lifelong sacrifice of avoiding the things that you love doing! Some patients with ankle arthritis may be candidates for ankle replacement surgery, where the arthritic ankle joint is removed and replaced with a new joint.

Ankle arthritis is rare and it is usually the result of an injury or the result of cumulative trauma that results in arthritis in the ankle.  Candidates for ankle replacement are usually treated conservatively to start – utilizing anti-inflammatory medications, cortisone injections, occasionally bracing.  When these conservative options fail to provide adequate pain relief, then the surgeon may look at arthroscopic surgery to clean out the arthritic joint or ultimately ankle fusion or ankle replacement as options to relieve pain.

Both ankle fusion and ankle replacement are good pain-relieving operations. A fusion can give permanent relief, but can result in stiffness or arthritis in the surrounding joints of the foot, because the other joints compensate for the fused joint.  This can eventually lead to arthritis in the other joints. Ankle replacements have come a long way in the past fifteen years.  Today, replacements allow for better range of motion and a more normal gait than a traditional ankle fusion. With a replacement there is less chance for arthritis to set in because it does not place undue stress on the other joints.

Unlike an ankle fusion, ankle replacements address the pain caused by severe arthritis, while also giving patients a fully functional ankle joint. In fact, the biggest surprise for patients is probably the speed at which they can move the ankle without having pain.

Although there are many advantages to total ankle replacements, not all orthopedic surgeons have received the training necessary to perform this complex procedure.  That experience, along with our commitment to quality and evidence-based practices, makes us the best choice for foot and ankle care.

Team

Dr. Desai's Physician Assistant - Kim Madden, PA

Dr. Conklin's Physican Assistant - Sheri Fushimi, PA

Dr. Conklin

Dr. Deol

Dr. Desai

Dr. Murken