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    Ankle Fusion

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    Yasmin Verzosa
    The document outlines a post-operative protocol for ankle fusion, divided into four phases. The initial 1-6 week phase is non-weight bearing, with elevation and swelling control. From 6-10 weeks, exercises focus on range of motion, strength, and gait re-education. Between 10-12 weeks, proprioceptive exercises and more advanced strengthening are introduced. After 12 weeks, the goal is full weight bearing and continued progression of exercises and mobility.

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    Ankle Fusion

    Uploaded by

    Yasmin Verzosa
    28 views1 page
    The document outlines a post-operative protocol for ankle fusion, divided into four phases. The initial 1-6 week phase is non-weight bearing, with elevation and swelling control. From 6-10 weeks, exercises focus on range of motion, strength, and gait re-education. Between 10-12 weeks, proprioceptive exercises and more advanced strengthening are introduced. After 12 weeks, the goal is full weight bearing and continued progression of exercises and mobility.

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    Ankle fusion

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    The document outlines a post-operative protocol for ankle fusion, divided into four phases. The initial 1-6 week phase is non-weight bearing, with elevation and swelling control. From 6-10 weeks, exercises focus on range of motion, strength, and gait re-education. Between 10-12 weeks, proprioceptive exercises and more advanced strengthening are introduced. After 12 weeks, the goal is full weight bearing and continued progression of exercises and mobility.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    28 views1 page

    Ankle Fusion

    Uploaded by

    Yasmin Verzosa
    The document outlines a post-operative protocol for ankle fusion, divided into four phases. The initial 1-6 week phase is non-weight bearing, with elevation and swelling control. From 6-10 weeks, exercises focus on range of motion, strength, and gait re-education. Between 10-12 weeks, proprioceptive exercises and more advanced strengthening are introduced. After 12 weeks, the goal is full weight bearing and continued progression of exercises and mobility.

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    ANKLE FUSION (ARTHRODESIS) POST-OP PROTOCOL

    1-6 WEEKS (Non weight bearing)


     Elevate the foot as much as possible, especially in the first week
     At ~6 week post-op the cast is removed and you will be placed in the boot walker
     You will be then able to start weight bearing in a gradual fashion, orders to be given by surgeon

    6-10 WEEKS
    Goals:
     Reduce swelling
     Increase ROM
     Prevent soft tissue adhesions
     Maintain hip/knee muscle strength and flexibility
     Pain management
    General:
     Gait re-education as tolerated
     Electrotherapy/modalities
     Ice/Contrast Baths as needed.
    o Careful with diabetic feet, i.e. heat.
     Effleurage massage, scar tissue management
     Compressive stocking for swelling
    Active Exercises:
     Seated wobble board
     Prone hip extension, sidelying hip abduction, bridging
     Isometric quadricep and hamstring sets
     Stretches - lower extremity muscle groups
     Core exercises in lying, ball sitting
     Bike with boot on if tolerated

    10-12 WEEKS
    Goals:
     Improve range of motion and strength in ankle and leg as available
     Initiate proprioceptive retraining exercises as tolerated
     Gait re-education
    General:
     Electrotherapy/modalities as needed
     Passive joint mobilizations as needed
     Continue to wear compression stockings to control swelling as needed
    Active Exercises:
     Week 8-10 exercises continued
     Seated wobble board
     Gait re-education with cane
     Stationary bicycle no resistance, possibly only arcs, progress to mild resistance as tolerated
     Progress quadriceps strengthening as appropriate with leg press, shuttle, and wall squats (1/4 squat only)
     Balance activities/walking on different surfaces as tolerated
     Core exercises progressed as tolerated
     Hamstring strengthening - standing leg curls with wall cables
    12+ WEEKS
     Electrical modalities as needed for pain and swelling control
     FWB gait re-education
     Continue with exercises as above, progressing range of motion
     Seated wobble board activities
     Walking program on treadmill, increased stationary cycling

    References:
    Adapted from Ankle Fusion Pre-Operative Package of Citadel Physiotherapy Ltd, Dalhousie Orthopaedics, Halifax, UK

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