Ankle surgery using new system performed at St. Michael’s, videoconferenced

Our priority is to ensure the safety and well-being of our patients and residents, and our people.

Emergency department outbreak information >>

Only pre-approved visitors can visit patients at our sites. Please check our COVID-19 information page to learn more about what to expect for your appointment/visit and how to be approved as a visitor. >>

Book an appointment online for COVID-19 testing at one of our Assessment Centres. >>


Our Stories

Ankle surgery using new system performed at St. Michael’s, videoconferenced

Toronto, August 19, 2016

Dr. Timothy Daniels performs ankle surgery
Dr. Timothy Daniels performs ankle surgery (seen on monitor) using a new system while it is being videoconferenced. (Handout photo)

A new type of ankle surgery has been performed in Canada – and St. Michael’s Dr. Timothy Daniels, orthopedic surgeon and head of Orthopedic Surgery, has performed all four to date. The latest one, performed on July 19, was videoconferenced from the operating room to the John King Conference Room at the Li Ka Shing Knowledge Institute where visiting orthopedic surgeons from places such as Bangladesh, Chile, India, Shanghai, South Korea, Switzerland and the United States were able to watch the procedure in real-time and interact with Dr. Daniels while he performed the surgery.

Dr. Daniels is a world-renowned foot and ankle surgeon, and one of the three – along with Dr. David Pedowitz from the Rothman Institute and Dr. Selene Parekh from Duke University – who collaborated to design and develop the Cadence Total Ankle System.

“The Cadence Total Ankle System simplifies the surgical complexities of ankle replacement,” said Dr. Daniels. “It has proven to be reliable, accurate and reproducible. The system is a welcome addition to the surgical options for end-stage ankle arthritis. We are rapidly approaching a time when ankle joint replacements will be as reliable and durable as total knee replacements.”

International surgeons observe the highly specialized surgery via videoconference from the operating room
International surgeons observe the highly specialized surgery via videoconference from the operating room. (Photo by Mark Kinach)
Among the many advances in this new system, it is the only ankle replacement that offers anterior and posterior-biased polyethylene inserts which provide improved stability in the sagittal (front to back) plane. The first anterior-biased poly ever to be implanted in the world took place in Canada on July 4 by Dr. Daniels and only for the second time ever has this component been implanted on July 19, observed by the visiting surgeons via videoconference.

With the technical expertise of St. Michael’s Mark Kinach, from Telemedicine, and Yuri Markarov, from Medical Media, the video link from the OR was a first for the hospital, although the Telemedicine Program has on several occasions facilitated the broadcast of procedures from the catheterization laboratory.

“There was so much interest in this highly specialized ankle surgery, we couldn’t fit everyone in to the operating room to observe it,” said Mark Kinach, Telemedicine Application and Technology specialist. “Videoconferencing the surgery enabled us to accommodate those wishing to observe as well as create an educational opportunity by sharing Dr. Daniel’s expertise in this unique surgical procedure.”

The international surgeons were in Toronto for the annual American Orthopedic Foot and Ankle Society summer meeting. Dr. Daniels is the co-founder and past president of its counterpart, the Canadian Orthopedic Foot and Ankle Society.

RELATED: Dr. Timothy Daniels appointed first Chair in Foot and Ankle Surgery in Canada

About St. Michael's Hospital

St. Michael’s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future health care professionals in 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the hospital’s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael's Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.

See More of Our Stories in 2016