What do you guys think?

Yeah.

She's gonna be a well-informed patient, right? She's seen my ankle fusion patients.

She's seen my ankle replacement patients, and she's seen the same thing that I've seen, and that is a well-done ankle replacement.

There's no comparison to their excitement and how happy they are when they come back in office with motion and a more natural gait.

And so nothing in this case really concerns me other than her age, which I agree is quite young.

But you can have that discussion with her, and she understands that, is this gonna last the rest of her life or her career? Maybe not.

So I think that's another consideration for these types of cases.

Does that part matter at all, do you think?

Yeah.

I mean, I think for sure it does.

If you look at the range of motion that you can expect after surgery, a lot of that's gonna be dependent on the pre-op range of motion, and I think that directly ties into the fracture pattern.

I was just listening to Constantine talk about his experience with younger patients and post-traumatics that have had a normal ankle and then An unforeseen event, never anticipated with trauma, and they end up with a bad ankle on day one.

And I was going back when you really put him on the spot and asked him what age, what's too young.

And you brought up trauma, and I remember a case in my fellowship with Dr. Coughlin, and we had this rock climber who was super active, and she ended up with a talus fracture that healed, no AVN.

You know, if they have adjacent joint arthritis, does that factor in your decision-making with some of these patients in fusion versus replacement discussion, or is that something that you're like, "Eh, just kind of," I won't say ignore it, but it has less of a factor than we used to think?