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Ankle replacement is performed as a treatment for end-stage ankle arthritis (See Figure 1). It is typically indicated in older, lower demand individuals, as the lifespan of an ankle replacement remains less certain than that for hip or knee replacement.
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.
Both component designs permit semi-constrained motion, specifically allowing some inversion and eversion during sagittal plane ankle movement. The four 2 component designs have been approved by the U.S. Food and Drug Administration (FDA). The STAR was recommended for approval by the FDA in 2008.
24 Μαΐ 2023 · eversion and inversion strengthening should continue isometrically. Band should progress to heavy resistance as tolerated. Swimming and biking allowed as tolerated. Step program: forward, lateral, and backward as tolerated. Begin 2-3” and progress to normal step height. Gait Training: Emphasis on smooth cadence, heel strike, and return to
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.
Execution of the combined three movements puts the foot in an inverted position (inversion) while abduction combined with pronation and plantar flexion puts the foot in an everted position (eversion) [2].
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.
