I spoke with two other ankle surgeons and they both told me that they could not perform ankle replacement surgery on my ankle because it was too damaged. I then met with Dr. Silverman and he was confident that he could perform the ankle replacement surgery. It is now about four months since I had the surgery and I am walking better than I have in years. The ankle Dr. Silverman operated on is almost totally pain free. Thank you Dr. Silverman for giving me back my mobility ~ James I.