Total Ankle Arthroplasty | Dr. Alex Simpson
Key Highlights
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Patient-Specific Guides: The surgical team uses a custom 3D replica of the patient's tibia and customized cutting guides to ensure exact bone cut placement and reduce operating time
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Bone Sizing & Cutting: Sizing blocks are placed on the talus, followed by cutting guides used to slice and remove damaged bone from both the tibia and talus
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Trial Fitting: Peg holes are prepared in the tibia, and temporary trial components—including the tibial tray, talar piece, and plastic insert—are fitted to verify correct sizing
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Final Component Insertion: The trial pieces are removed, the site is washed and treated with antibiotic powder, and the permanent implants are placed into the tibia and talus
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Articulating Joint Completion: A high-grade plastic piece is inserted between the titanium components to allow smooth upward and downward movement of the new ankle joint





