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Physical Therapy Guidelines for Total Ankle Arthroplasty. For the Clinician: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation for the patients who undergo Total Ankle Arthroplasty.
The Total Ankle Arthroplasty, otherwise known as a Total Ankle Replacement, is performed as a treatment for end-stage ankle arthritis. The arthritic surface of the distal tibia is removed along with the arthritic surface of the top of the talus.
24 Μαΐ 2023 · Techniques for inversion and eversion should be minimized and may be contraindicated if the patient has had ancillary procedures such as subtalar fusion or triple
Phase 1 – Maximum Protection Phase (0-6 weeks) Maximum protection. Minimize effusion. Proper assistive device use. Progress hip and quad strength. No inversion and eversion. NWB 1st 4-6 weeks in cast, then boot, then progress to weight bearing per physician in boot.
This protocol provides you with general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement.
Precautions. Begin AROM ankle inversion/eversion but no strength x 8 weeks (isometrics ok) Suggested Therapeutic Exercises. Band strength for ankle DF/PF. Gait training. Step up/down. Bilateral balance/proprioception activities. BAPS board for ankle ROM.
Total Ankle Arthroplasty Protocol. Phase 1. Surgery to 6 weeks post-op. Rehabilitation appointments begin approximately 14 days after surgery, 1-2 times per week. Activities of daily living (ADLs) with safe crutch/walker use; instruction as needed. Control swelling and pain.
