Total Ankle Arthroplasty: Difference between revisions

(Added PT Management Table)
mNo edit summary
Line 42: Line 42:
== Physical Therapy Management <br>  ==
== Physical Therapy Management <br>  ==


{| width="600" border="0" cellpadding="1" cellspacing="1"
{| width="600" border="0" cellpadding="0" cellspacing="0"
|-
|-
! scope="col" colspan="2" |  
! scope="col" colspan="2" |  
Line 51: Line 51:
| <br>
| <br>
|-
|-
| &nbsp;&nbsp;&nbsp;0-2 weeks
|  
|  
*Short leg cast
*0-2 weeks
*2-6 weeks
*&gt;6 weeks


|-
| &nbsp;&nbsp;&nbsp;2-6 weeks
|
*Removable splint
|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|  
|  
*Short leg cast
*Removable splint
*Discontinue immobilization
*Discontinue immobilization


Line 69: Line 65:
|  
|  
|-
|-
| &nbsp;&nbsp;&nbsp;0-6 weeks
|  
|  
*Non-weight bearing
*0-6 weeks
*&gt;6 weeks


|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|  
|  
*Non-weight bearing
*Weight bearing as tolerated
*Weight bearing as tolerated


Line 82: Line 77:
|  
|  
|-
|-
| &nbsp;&nbsp;&nbsp;2-6 weeks
|  
|  
*Active &amp; passive ankle dorsiflexion and plantar flexion
*2-6 weeks


|-
| <br>
|  
|  
*Active &amp; passive ankle dorsiflexion and plantar flexion
*Active toe flexion &amp; extension
*Active toe flexion &amp; extension


|-
|-
| &nbsp;&nbsp;&nbsp;&gt;6 weeks
|  
|  
*Active inversion &amp; eversion
*&gt;6 weeks<br>


|-
|
|
*Aggressive ankle stretching&nbsp;and mobilization emphasizing dorsiflexion
|-
|
|
*Progression to weight-bearing stretches to increase dorsiflexion range of motion
|-
|
|  
|  
*Active inversion &amp; eversion<br>
*Aggressive ankle stretching&nbsp;and mobilization emphasizing dorsiflexion
*Progression to weight-bearing stretches to increase dorsiflexion range of motion
*Weight-bearing toe- and heel-raising exercises and standing-balance activities
*Weight-bearing toe- and heel-raising exercises and standing-balance activities


Revision as of 03:40, 8 July 2011

Welcome to Texas State University's Evidence-based Practice project space. This is a wiki created by and for the students in the Doctor of Physical Therapy program at Texas State University - San Marcos. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editor - Jeremy Brady

Lead Editors - Jeremy Brady, Neha Palsule, Jorge Solorzano, Tori Westcott, Dana Williams

Search Strategy[edit | edit source]

Databases Searched: PubMed, CINAHL, Cochrane, JOSPT

Keywords Searched: ankle arthroplasty, ankle physical therapy, ankle replacement, total ankle arthroplasty, total ankle replacement

Search Timeline: June 11th 2011 -

Definition/Description[edit | edit source]

add text here

Epidemiology/Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

Guidelines for Rehabilitation Following Total Ankle Arthroplasty[1]

Immobilization
  • 0-2 weeks
  • 2-6 weeks
  • >6 weeks
  • Short leg cast
  • Removable splint
  • Discontinue immobilization
Weight Bearing
  • 0-6 weeks
  • >6 weeks
  • Non-weight bearing
  • Weight bearing as tolerated
Exercises for the Involved Ankle & Foot
  • 2-6 weeks
  • Active & passive ankle dorsiflexion and plantar flexion
  • Active toe flexion & extension
  • >6 weeks
  • Active inversion & eversion
  • Aggressive ankle stretching and mobilization emphasizing dorsiflexion
  • Progression to weight-bearing stretches to increase dorsiflexion range of motion
  • Weight-bearing toe- and heel-raising exercises and standing-balance activities

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

Recent Related Research (from Pubmed)[edit | edit source]

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.

  1. ↑ Martin, RobRoy L, Stewart, Gary W, Conti, Stephen F. Posttraumatic Ankle Arthritis: An Update on Conservative and Surgical Management. JOSPT 2007; 37:253-259.
Retrieved from "https://www.physio-pedia.com/index.php?title=Total_Ankle_Arthroplasty&oldid=42504"