Phone: (727) 547-4700
Fax: (727) 394-8661

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Hello Hybrid Total Ankle

Generation 1 Depuy Agility Total Ankle
Generation 1 Depuy Agility Total Ankle

Though no one can go back and make a brand-new start, anyone can start from now and makde a brand-new ending. ~Carl Bard

Currently, no one can argue that the Depuy Agility Total Ankle System is a dinosaur in terms of total ankle technology. On the other hand, one must recognize that it has played a significant role in setting the stage and blazing the pathway for the design and introduction of so many new and greatly improved total ankle options that are available today.

At one point in the recent past, the Agility was the only option available by a select group of accomplished foot and ankle surgeons. Now, it is no longer available and finding replacement parts for it is extremely difficult.

A couple of years ago, a patient walked (limped) into my office with a dilemma. She had a very well-done Agility (1st generation) total ankle that was put in by the great Dr. Sig Hansen over 24 years ago. To date, she has had over 10 ankle surgeries including 2 revisions where exuberant bone formation was removed and the poly was exchanged, with the most recent one being about 10 years ago.

Here she was in my office for another “tune-up” surgery, but the only problem with this was that her ankle system was discontinued and was no longer supported. While I was able to track down a spare Agility poly after about 10 phone calls and a rather extensive treasure hunt at the DePuy/Synthes warehouse somewhere in Warsaw, Indiana, I saw a big dilemma that needed to be addressed. What will happen in 10 more years when this poly wears out and there are no replacements available that haven’t expired while sitting on a shelf in a warehouse full of retired parts?

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All the Reasons Your Feet Are Amazing, and How to Show Yours More Love

Runners World
By Cassie Shortsleeve August 6, 2019

If your running shoes fit, your toenails aren’t falling off, and your socks aren’t bloody, it’s easy to ignore your feet. But your lowest extremities really are worth awing over. “The foot is an amazingly complex structure from both a mechanical and architectural viewpoint,” says Adam D. Perler, D.P.M., a podiatrist in St. Petersburg, Florida.

With each step, your feet are subject to heavy loads—one-and-a-half times your body-weight when you walk, between five to seven times your weight when you run.

“Over a lifetime, the average person circumnavigates the Earth’s circumference more than five times,” says Perler. “There are very few complex mechanical things we can engineer that would be able to withstand so many cycles without complete failure or breakdown.”

All of that is incredible, and reason enough to show your feet some more respect. But there's also a tactical reason to pay attention to your puppies. They are your body’s foundation, and you know what happens if the foundation is faulty. Plus, experts say foot ailments are often initial signs of serious medical conditions like arthritis, diabetes, nerve and circulatory disorders, and more.

Routine maintenance goes a long way. Here are six ways to treat your feet right.

The Surprising Plantar Fasciitis Treatment You Probably Haven’t Heard About

Runners World
By Robert Annis February 19, 2019

Last fall, I got to chatting with Peter McAllister, M.D., neurologist and Chief Medical Officer of the New England Institute for Clinical Research, when the talk turned to toxins—botulism toxin, to be exact, or better known as Botox.

Commonly thought of as a way for the Real Housewives of Anywhere to claw back the hands of time, Botox is actually FDA-approved for a variety of other, more serious medical maladies, including limb spasticity after stroke, overactive muscle disorders, excessive sweating, and chronic migraines. For the last several years, McAllister, one of the world’s leading authorities on Botox’s therapeutic uses, has been using it to treat one of runners’ most common complaints, plantar fasciitis.

Just as Botox is used to temporarily smooth out wrinkles (injected underneath the skin, it paralyzes the muscles allowing them to relax), it can also relieve the pain and pressure on the inflamed ligament that runs underneath your foot. McAllister says he’s treated about 150 plantar fasciitis patients with promising results.

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St. Petersburg Office

Alexander Orthopaedic Associates
Adam D. Perler, DPM, FACFAS
2438 Dr. ML King Jr. St. N. | Suite A
St. Petersburg, Florida 33704
PH: 727-547-4700 | FAX: 727-394-8661

Largo Office

Alexander Orthopaedic Associates
Adam D. Perler, DPM, FACFAS
12416 66th Street North | Suite A
Largo, Florida 33773
PH: 727-547-4700 | FAX: 727-394-8661

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Phone: (727) 547-4700
Fax: (727) 394-8661

Contact AOA Today