Post-operative management after total ankle arthroplasty: A systematic review of the literature |
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| Institution: | 1. 1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy;2. Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123, Bologna, Italy;1. Department of Orthopaedic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan;2. Faculty of Health Sciences, Institute of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Kanazawa, Japan;3. Department of Functional Anatomy, Kanazawa University, Kanazawa, Ishikawa, Japan;1. IRCCS Istituto Ortopedico Rizzoli, 1st Orthopaedic and Traumatologic Clinic, Via Giulio Cesare Pupilli 1, 40136 Bologna, Italy;2. Department of Biomedical and Neuromotor Sciences, University of Bologna, 40123 Bologna, Italy;1. University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA, USA;2. Stanford University, Department of Orthopaedic Surgery, Palo Alto, CA, USA;3. Duke Sport Science Institute, Division of Sports Medicine, Department of Orthopaedic Surgery, Duke University, Durham, NC, USA |
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| Abstract: | BackgroundCurrently, there is no consensus on the most appropriate post-operative management for patients undergoing total ankle arthroplasty. The aim of this study is therefore to offer a systematic review of the pertaining literature to identify current post-operative protocols and describe possible differences.MethodsA systematic review to identify recent studies concerning the post-operative management after total ankle arthroplasty was conducted. Five topics were analyzed: length of hospital stay, type and duration of immobilization, weight-bearing management, post-operative pharmacological therapies, adopted rehabilitation scheme.ResultsEighty-four studies met the inclusion criteria and were included in the review process. Most of the papers appear to have conflicting opinions with no consensus and homogeneous protocols.ConclusionDue to various methodological limitations, it is not possible to provide sufficiently supported evidence-based recommendations, and it is therefore difficult to determine the superiority of one post-operative protocol over the others after total ankle arthroplasty. |
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| Keywords: | Ankle arthritis Total ankle arthroplasty Total ankle replacement Post-operative management Rehabilitation |
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