Ready to Purchase?
Order by phone: (800) 338-5954
Item #ANH15153 — Source #1136
|Anterior Ankle Fusion - Medical Animation
|MEDICAL ANIMATION TRANSCRIPT: |
Anterior ankle fusion is an open surgical procedure that fuses, or joins, the ankle bones together. The ankle is the joint that connects the leg and the foot. The ankle joint includes the two lower leg bones, called the tibia and the fibula, and the ankle bone, called the talus. Together, the ends of the tibia and fibula create a mortise, or slot, for the talus, which forms the bottom of the ankle joint. Tissues called ligaments and tendons support the ankle bones. Ligaments attach bones to bones and tendons attach muscles to bones. The ankle joint allows the foot to move up and down. Articular cartilage on the ends of bones is a smooth, gliding covering that allows fluid joint movement. Ankle fusion, also known as arthrodesis, is a surgical procedure that joins the ankle bones together so they no longer move or rub against each other. Doctors may recommend this procedure for conditions that lead to severe ankle joint damage and pain. The most common condition is osteoarthritis, also known as degenerative joint disease. In the late stage of osteoarthritis, cartilage covering the ends of the bones has worn away, exposing bare bone. This, along with the growth of bony projections called bone spurs, causes swelling, pain, and limited movement of the joints. Another condition that may require ankle fusion is rheumatoid arthritis, where the patient's own immune system attacks the joints. Any condition that destroys the joint surface, such as a severe bone infection or death of bone tissue, called necrosis, may also require fusion of the ankle joint. The procedure will begin with an incision on the front, or anterior, part of the ankle. Next, the surgeon will open up the ankle to see inside the joint space between the tibia and talus bones. Damaged cartilage and bone will be removed from the bottom surface of the tibia. This will also be done to the top surface of the talus. Then the surgeon will attach the bones to each other with screws or with a metal plate and screws. Bone tissue made taken from an area such as the patient's pelvic bone or upper tibia, or it may come from a bone bank. This will be used as bone graft to fill the joint space and help the bones grow together. Finally, the skin incision will be closed with stitches. After the ankle fusion, the patient will no longer be able to move the ankle joint. However, fusion removes the pain caused by arthritic surfaces rubbing together and other joints in the foot continue to allow limited movement.
|This exhibit is available in these languages:
|What attorneys say about MLA and The Doe Report:
|"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
As a treating physician, I also use these accurate illustrations to educate
my own patients about their medical conditions. The Doe Report is an
invaluable resource, and its authors at MLA have always been a pleasure to
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
|"I just wanted to let you know that after several days on trial, I settled
[my client's] construction accident case for $4.5 million. Immediately after
the jury was discharged, I spoke with several jurors who told me that they
really appreciated the medical illustrations for their clarity in dealing
with [my client's] devastating injuries. They also expressed their gratitude
in being able to read from a distance all of the notations without
difficulty. Obviously, the boards were visually persuasive. I am certain
that this contributed to our successful result."
Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
|"Our practice involves medical negligence cases exclusively. We have six
attorneys and one physician on staff. We have used Medical Legal Art's
staff for every one of our cases over the past 12 years and have found their
services to be extraordinary. The transformation of medical records into
powerful graphic images has without fail been handled expertly,
expeditiously and effectively translating into superb results for our
clients, both in the courtroom and in settlement. Every case can benefit
from their excellent work and we unqualifiedly recommend their services.
They are the best!"
Morrow and Otorowski
Bainbridge Island, Washington
|"I have a medical illustration created by Medical Legal Art at the beginning
of every case to tell the client's story, usually before I depose the
defendant doctor. The work product and cost-efficiency are outstanding. It
is a situation where, as a trial lawyer, I don't leave home without it."
Attorney at Law