Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach

Author:

Sakata Manabu1,Hirao Makoto1ORCID,Noguchi Takaaki2,Okamura Gensuke1,Higuchi Yusei3,Tabuse Yuki1,Etani Yuki2,Ebina Kosuke2,Tsuboi Hideki4,Miyama Akira5,Takahi Koichiro5,Takami Kenji6,Tsuji Shigeyoshi6,Okada Seiji3,Hashimoto Jun1

Affiliation:

1. Department of Orthopaedic Surgery, National Hospital Organization, Osaka Minami Medical Center , Osaka, Japan

2. Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine , Osaka, Japan

3. Department of Orthopaedic Surgery, Amagasaki Chuo Hospital , Hyogo, Japan

4. Department of Orthopaedic Surgery, Osaka Rosai Hospital , Osaka, Japan

5. Department of Orthopaedic Surgery, National Hospital Organization, Osaka-Toneyama Medical Center , Osaka, Japan

6. Department of Orthopaedic Surgery, Nippon Life Hospital , Osaka, Japan

Abstract

ABSTRACT Objectives According to the conventional postoperative procedure after total ankle arthroplasty (TAA), mobilization and weight-bearing is currently started after completion of wound healing. Recently, early mobilization for dorsiflexion after TAA with modified antero-lateral approach was reported to be feasible and safe. To investigate the further possibility of expediting rehabilitation, this study evaluated the feasibility and safety of early full weight-bearing and gait exercise after cemented TAA. Materials and Methods This retrospective, observational study investigated 23 consecutive ankles (OA: 14 ankles, RA: 9 ankles) that had received cemented TAA with a modified antero-lateral approach. These ankles were divided into three groups 1. conventional postoperative protocol, 2. early dorsiflexion protocol, 3. early dorsiflexion+full weight-bearing protocol. Postoperative wound complications were observed and recorded. Number of days for hospitalization was also evaluated. Results No postoperative complications related to wound healing were observed even after early full weight-bearing and gait exercise. Days for hospitalization was significantly shortened in early full weight-bearing and gait exercise group (group 3) from 35-38 days to 24 days. Conclusions Within this small number of cases, early full weight-bearing and gait exercise from 7 days after cemented TAA was feasible and safe with the modified antero-lateral approach. Combination of early dorsiflexion mobilization and weight-bearing/gait exercise contributed to shortening the hospitalization day. Innovations in postoperative procedures for rehabilitation after TAA can be expected.

Publisher

Oxford University Press (OUP)

Reference37 articles.

1. Perioperative physiotherapy for total ankle replacement in patients with inherited bleeding disorders: outline of an algorithm;Kotela;Med Sci Monit,2017

2. Physiotherapy Rehabilitation Guidelines – Total Ankle Replacement Surgery;Royal National Orthopaedic Hospital NHS Trust

3. Rehabilitation for total ankle arthroplasty (in Japanese);Ishida;Jpn J Rehabil Med,2017

4. Surgical management of osteoarthritis of the knee. Evidence-based clinical practice guideline;Weber;J Am Acad Orthop Surg,2016

5. Modified anterolateral approach for total ankle arthroplasty;Hirao;Foot Ankle Orthop,2021

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