Dr. Zechmann uses The AGILITY™ Total Ankle System from DePuy.  It is the first total ankle replacement implant with a wide base of support that bridges the fused tibiofibular syndesmosis for increased contact and better force distribution.  The AGILITY™ Ankle, developed in conjunction with Frank G. Alvine, MD, helps to allow for normal alignment during the stance phase and associated talonavicular rotation and up to 60 degrees of rotation for more comfortable movement during the walking cycle.  Since 1984, the AGILITY™ Ankle has been used for a wide range of clinical applications as an alternative to ankle fusion. Surgeon's confidence levels with the implant are approaching that of today's hip and knee implants.  Dr Zechmann has trained personally with Dr Alvine to learn about ankle replacment and The AGILITY Total Ankle System.