STAMPEDE CHAMP
NATIONAL CONGRESS
Creston/O-M senior Chase Shiltz became the fourth wrestler in program history to win his weight class at the Kansas City Stampede Saturday. For more on Shiltz and the Panthers, see SPORTS, page 7A. >>
Afton’s Allison Hadley was one of 18 Iowa high school 4-H’ers who was accepted into the National 4-H Congress. For more on Hadley, see page 12A. >>
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New lease on life Area residents benefit from advances in ankle replacements
years just because I’m not considered old enough? Think of the adv a n c e - Anderson m e n t s that might be made by then if this wears out in 20 to 25 years.” For both Wignall and Anderson, the journey to a pain-free solution was a long process. In fact, Wignall battled severe pain for more than a decade while trying to ward off fusion surgery, which was the only option offered to him. Years of toll on his ankles from recreational running, and from long jumping in high school had left him in near constant pain. “I went in about 10 years ago and and they told me my cartilage was deteriorating and it was just a matter of time,” Wignall said. “They told me I was probably going to have to have ankle fusion.” That kind of limited mobility didn’t suit his lifestyle, with two sons living in the mountains of Colorado. They shared activities such as downhill skiing, cross country skiing and hiking. “In fusion they cut the top and bottom bones of the ankle and let them grow together (see related story),” Wignall said. “I really didn’t want to do that. They get rid of the joint and the cartilage and everything. It limits the movement of the ankle.” Desperate, Wignall visited a clinic in South Dakota where he’d heard a physician was a pioneer in ankle replacement surgeries. Dr. Frank Alvine was the first person to receive FDA approval for his total ankle replacement surgery in 1992. His son, Dr. Gregory Alvine, now operates the Alvine Clinic in Sioux Falls, South Dakota.
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By LARRY PETERSON CNA senior feature writer lpeterson@crestonnews.com
Next summer, Creston school counselor Jeff Wignall plans a 13-mile trek up to a 14,000-feet mountain peak in Colorado. Callie Rieck-Anderson, Creston pre-kindergarten through second-grade principal, looks forward to painfree walks and maybe even occasional stints with the adult clogging dance class she once enjoyed. They and another recent patient with educational ties — East Union teacher Laura Guhse — are all on the road to recovery from a relatively new surgical procedure. Wignall, 55, was one of the first patients referred from local physicians for a total ankle replacement performed in March by Dr. Bryan Den Hartog of Des Moines Orthopedic Surgeons. Anderson, 43, was considered too young for installation of the ankle implants expected to have a life span of 20 to 25 years. However, in a meeting with Dr. Den Hartog in September, she was cleared for the surgery on her right ankle, just a month after surgical repair of a bothersome left knee. Anderson is rapidly progressing through the recovery process from the Oct. 19 surgery, recently taking her first steps in a shoe on her right foot during a session with Creston physical therapist Jane Brown. “I had to convince Dr. (William) Ralston of Greater Regional Medical Center to refer me, because he said I was awfully young for that,” Anderson said. “But if you think about how far technology has come in the past 25 years, I thought why wait through pain for 12
CNA photo by LARRY PETERSON
Jeff Wignall holds two of the stiff, costly ankle braces he wore regularly before undergoing total ankle replacement surgery in March. Nine months later, he said he has returned to normal activities and is pain free.
What is total ankle replacement surgery? By LARRY PETERSON CNA senior feature writer lpeterson@crestonnews.com
Total ankle replacement surgery, known as ankle arthroplasty, is a surgical option for patients who suffer from severe arthritis of the ankle. It is designed to relieve pain and preserve motion in the arthritic ankle joint, by replacing the arthritic joint with a metal prosthesis. This differs from the older procedure called CNA photo by LARRY PETERSON ankle fusion, which An X-ray shows Callie new is known as ankle ar- Rieck-Anderson’s ankle replacement implant throdesis, referring to from an Oct. 19 surgery. the bones growing to- She recently walked her gether. Ankle fusion first steps in shoes during can also alleviate pain. physical therapy. However, this procedure eliminates motion in the joint. Since the first generation of ankle replacements was tested in the 1970s, advances have been made in the implant designs that coincide better with the biomechanics of the ankle joint. Compared to the long history of successful knee and hip replacement surgical successes, long-term data is lacking for ankle replacements. However, according to a 2009 survey, five years after surgery, SURGERY | 6A
ANKLE | 5A
Electoral College meets amid effort to deny Trump presidency WASHINGTON (AP) — And you thought Election Day was in November. Electors are set to gather in every state on Monday to formally elect Donald Trump president even as anti-Trump forces try one last time to deny him the White House. Protests are planned for state capitals, but they are unlikely to persuade the Electoral College to dump Trump. An Associated Press survey of electors found very little appetite to vote for alternative candidates. Republican electors say they have been deluged with emails, phone calls and
letters urging them not to support Trump. Many of the emails are part of coordinated campaigns. “The letters are actually quite sad,” said Lee Green, a Republican elector from North Carolina. “They are generally freaked out. They honestly believe the propaganda. They believe our nation is being taken over by a dark and malevolent force.” Wirt A. Yerger Jr., a Republican elector in Mississippi, said, “I have gotten several thousand emails asking me not to vote for Trump. I threw them all away.” ELECTORAL | 2A
Body found under Iowa bridge ID’d as that of Colorado man FREMONT COUNTY (AP) — Authorities have released the name of a Colorado man whose body was discovered under a highway bridge in southwest Iowa. The Fremont County Sheriff’s Office identified the man as 39-year-old Larry Burns II, of Lamar, Colorado. The Sheriff’s Office says Burns fell from the
shoulder of the U.S. Highway 2 bridge while walking in the Waubonsie Access Wildlife Management Area. His body was found by hunters on Dec. 11. The Sheriff’s Office says an autopsy showed Burns died of head injuries and hypothermia. A report on toxicology tests isn’t expected for at least six weeks.
CNA photo by KELSEY HAUGEN
CNA photo by KELSEY HAUGEN
Glittery crafts: Seven-year-old Caydance, daughter of Sharhia Wiese of Creston, right, dips a pine cone in glitter while 11-year-old Megan Deboer of Creston dips a snowflake craft into glitter during the Southern Prairie YMCA’s holiday-themed family fun night Friday at the Y.
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Volume 133 No. 141
2016
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Pictures with Santa: Seven-year-old Caydance, left, 5-year-old Keiden, right, and 3-year-old Emylia, children of Sharhia Wiese of Creston, pose with Santa Claus, Chris Newcomb of Prescott, Southern Prairie YMCA employee, during a holiday-themed family fun night Friday at the Y. For every $25 certificate, we will give you a free $5 gift card.
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