Failed Implants and/or Previous Failed Surgeries
Don’t choose to live in daily foot or ankle pain!
If your previous foot or ankle surgery failed, or you experience persistent pain and deformities following a surgical procedure, do not give up hope.
Revisional, or corrective, surgery may be needed when complications such as pain, disability, deformity, and instability arise following an initial procedure. Surgery to the foot and ankle is especially difficult due to the size, shape and need to place weight on the foot and ankle. Also, many factors play a role in achieving surgical success. Dr. Castelein enjoys taking the time to determine the reason for continued pain and developing a comprehensive plan to restore pain-free function to the foot and ankle.
Schedule an appointment today with Dr. Bryant Castelein, DPM – Podiatry Specialist

Conservative Treatment
To best determine the course of treatment, Dr. Castelein reviews advanced imaging including X-Rays, MRIs, or CT scans to diagnose and understand the full extent of the problem.
Dr. Castelein also reviews symptoms, lifestyle needs of the foot and ankle, and the medical history in detail. He takes time to listen and fully understand the full condition picture and what has been previously attempted. Although surgery may be needed to fully address the issue, there are many options available to alleviate symptoms including ankle and foot orthotics, injections, physical therapy and at-home exercises, advance braces and certain footwear recommendations.
Surgical Treatments
When discussing the potential of revisional surgery, Dr. Castelein considers the impact pain or limitations are having on quality of life. He discusses a complete plan for surgery and recovery. Dr. Castelein will take time to examine and study previous medical records and operative reports while staying up-to-date on the most recent innovations and evidence-based practices. His goal is to match a great outcome while minimizing the recovery timeline.
Revision surgery may entail:
- Repairing or repositioning tendons or ligaments
- Removing misaligned or damaged joint surfaces
- Realigning damaged or misplaced bones and joints
- Removal of hardware
- Osteotomies to alter bone shape
- Exchanging implants
How Can Dr. Castelein Help?
Dr. Castelein is a board-certified podiatric surgeon and offers advanced revisional surgery to correct a failed surgery or implant while lessening the risk of future complications.
At Brighton Foot and Ankle, we regularly treat patients seeking a second opinion on revising or salvaging difficult foot and ankle issues. Dr. Castelein takes time to understand his patients and their pathology, while taking further steps to correct any underlying foot mechanical issues. He utilizes advanced surgical technology to correct all aspects of the pain or deformity experienced, increases joint motion and soft tissue attachment, and reduces scar tissue.
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