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]

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]



Notes to Incorporate

  • Agility ankle is currently the only ankle prosthesis currently approved by the US FDA (in 2007)[1]
    • it is a 2 component design that completely resurfaces distal tibia and talar dome[1]
    • also incorporates fusion of the distal tibiofibular syndesmotic articulation. This fusion allows the medial border of the fibula to provide additional support to the prosthesis, while providing additional surface area for biologic fixation[1]
    • prosthesis we use for our patients who decide to undergo total ankle arthroplasty[1]
  • STAR is the design choice for Europe[1]


Physical Therapy Management
[edit | edit source]

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]

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. ↑ 1.0 1.1 1.2 1.3 1.4 1.5 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=42508"