Post-operative management after total ankle arthroplasty: A systematic review of the literature

A Mazzotti, V Viglione, S Gerardi, S Bonelli, S Zielli, G Geraci, C Faldini

Research output: Contribution to journalReview articlepeer-review

Abstract

BACKGROUND: Currently, 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.

METHODS: A 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.

RESULTS: Eighty-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.

CONCLUSION: Due 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.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalFoot and Ankle Surgery
VolumeS1268-7731
DOIs
Publication statusE-pub ahead of print - May 28 2021

Keywords

  • Ankle arthritis
  • Post-operative management
  • Rehabilitation
  • tal ankle arthroplasty
  • Total ankle replacement

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