Foot & Ankle Services in Des Moines, IA


Ankle Arthroscopy

Ankle arthroscopy is a surgical procedure that uses a fiber-optic viewing camera and small surgical tools to operate in and around the ankle joint through small incisions. Ankle arthroscopy is performed for the surgical evaluation and treatment of a variety of ankle conditions. Arthroscopic surgery can have a quicker recovery time than traditional open surgery.

• You may need ankle arthroscopy if you have debris in your ankle from torn cartilage or from a bone chip. Also, if there is ligament damage from a severely sprained ankle, a bone surgeon may choose to do an arthroscopy to evaluate the extent of damage and possibly to repair it.

• For some people, arthroscopy means a speedier recovery, less scarring, and fewer complications than open surgery.

Rearfoot & Ankle Surgery

Dr. Raatz has vast experience performing reconstruction procedures including: arthroscopy, congenital or acquired deformity correction, sports injury related issues, total ankle joint replacement, fusions of the foot or ankle, as well as corrections due to arthritis.

Total Ankle Joint Replacement

Total ankle arthroplasty (TAA), also known as total ankle replacement, is a surgical procedure that foot and ankle surgeons use to treat ankle arthritis.

End stage arthritis of the ankle is a leading cause of chronic disability in North America. Historically, the prevailing option for patients with painful end-stage ankle arthritis has been ankle fusion. While ankle fusion can successfully relieve the pain within the joint, the resulting range of motion restriction can shift motion stresses to the adjacent joints, which in time also become arthritic. In more recent years, total ankle replacement has been refined and now has become a viable option to ankle fusion and has a high patients acceptance. In a survey of the world literature on ankle fusion versus ankle replacement surgery, the safety profile of the two procedures are comparable.

Not every patient with end-stage arthritis of the ankle is a sound candidate for ankle replacement. A surgeon experienced in total ankle surgery can make this determination through careful history and physical evaluation. As with any total joint replacement, patients who are candidates for this procedure should be make aware of alternative treatments and expected outcomes. Furthermore, adjunctive procedures are often necessary as part of the surgical plan to ensure proper device function.

In the United States, total ankle replacement surgery is currently a safe and effective treatment option for select patients with end stage ankle arthritis. Studies have shown total ankle replacement surgery improves patient function, reduces pain, and promotes improved quality of life.

Dr. Raatz is board qualified in foot and ankle surgery with experience and training in total ankle replacement.

Ankle Fusion

An ankle arthrodesis is a reconstructive surgical procedure where an injured ankle joint is converted into an immobile segment of bone. The motion between these bones is essentially eliminated in an ankle fusion.

Pain and stiffness, especially at the front of or throughout the ankle are the most common symptoms related to ankle arthritis. Swelling can also be present as well as warmth that can be seen with chronic inflammation (e.g., rheumatoid arthritis) or with infection. Arthritis related to an injury is the most common reason for a patient to consider ankle fusion.
Foot Xray - Podiatrist in Des Moines, IA

External Fixation

External fixation is a method of immobilizing bones to allow a fracture to heal. External fixation is accomplished by placing pins or screws into the bone on both sides of the fracture. The pins are then secured together outside the skin with clamps and rods. The clamps and rods are known as the "external frame."