Total Ankle Arthroplasty

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]

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Epidemiology/Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Outcome Measures[edit | edit source]

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Examination[edit | edit source]

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Medical Management
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Physical Therapy Management
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Guidelines for Rehabilitation Following Total Ankle Arthroplasty Using the Agility Ankle[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]

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Resources
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Clinical Bottom Line[edit | edit source]

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

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References[edit | edit source]

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  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.
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