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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.
It is normal for the foot and ankle to be swollen up to 6-12 months post-operatively. In the immediate post-operative period, the importance of elevation with the ankle above the heart for edema management should be emphasized.
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.
Protocol for Total Ankle Replacement. 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.
Total ankle replacement is indicated in post-traumatic degenerative joint disease and joint destruction secondary to rheumatoid arthritis. In this paper, total ankle replacement and various types of currently used endoprostheses are discussed.
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
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.
