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James G

James, a 68-year-old resident of Elkton, Fla., suffered from problems with his left ankle for over 40 years, stemming from a fall in his mid-20s that required surgery to repair a broken bone. He was able to maintain a normal quality-of-life until about 15 years ago when he began to experience swelling and pain in his ankle while walking or if he was on his feet for an extended period of time.In 2007, already struggling with limited mobility, James began to hear a clicking sound in his ankle and after consulting with an orthopedic surgeon, began semi-annual cortisone shots to manage the pain and swelling.

“I’m a ‘street rodder’ and was finding it difficult to walk around car shows that I enjoyed. It was a struggle to get around without limping,” said James. “I timed the cortisone shots around the car events so that I could manage to move around easier.”

James realized that the cortisone shots were only a temporary fix as it was increasingly more painful to walk around on a daily basis. James’ orthopedic surgeon told him that his only option was an ankle fusion, but James refused to have a surgery that would limit his mobility and began to research other treatment options, including total ankle replacements.

At the time, James’ ankle had deteriorated to the point where even walking in the grocery store was difficult and he had to limit his time at car shows. In fact, he secured an electric wheelchair to help him get around at work.

In June 2011, after limping around his class reunion, James ran into an old friend who was also a physician and they discussed his ankle problems. James learned about the INBONE Total Ankle Replacement from Wright Medical and located a local physician using the Wright Medical website.

The INBONE Total Ankle is intended to be used to treat patients with ankle joints damaged by severe arthritis or a failed previous ankle surgery. The INBONE Total Ankle is intended to give patients limited mobility by reducing pain and restoring movement in the ankle.

In July 2011, after visiting with Dr. Ryan Pereira at Anastasia Medical Group, James determined that the INBONE ankle replacement was the best treatment option for him.

Not everyone is a good candidate for the INBONE Total Ankle. Talk to your doctor to discuss your lifestyle and health to find out if surgery with the INBONE Total Ankle is a good option for you.

One month later, James checked into Shands Jacksonville Medical Center for his total ankle replacement. During the surgery, Dr. Pereira also repaired ligament and tendon damage that had built up over the years and James was able to return home after only two nights in the hospital.

Many factors contribute to the length of hospital stay and rehabilitation. These factors include, but are not limited to, your age and health at the time of surgery as well as your surgeon’s determination of the appropriate hospital stay and rehabilitation. Additionally, there are risks associated with ankle replacement surgery such as pain and bruising, damage to blood vessels or nerves, infection, or blood clots that can travel to your heart or lungs. If you experience these complications, your hospital stay may be extended.

Today James is wearing orthotics in his shoes to help the healing process and while his ankle is slightly swollen, his recovery is progressing extremely well.

“I’m pain-free, fully mobile and eager to help others in similar situations know that there is an alternative to ankle fusion,” said James. “I even stopped to talk with a man at a car show that had a brace on his ankle like the one I used to wear to tell him about the INBONE [implant] because I thought there may be a chance that I could help him to get back to a normal life.”

Once you have healed, there is the possibility that the bone surrounding the INBONE Total Ankle may lose its ability to support the implant. If this occurs, additional surgery may be required to replace the implant or fuse your ankle. Additionally, it is unknown how long the implant can be expected to perform well once implanted.


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.