Sport and activity restrictions following total ankle replacement: A survey of orthopaedic foot and ankle specialists

Macaulay, Alec A.; VanValkenburg, Scott; DiGiovanni, Christopher W.

doi:10.1016/j.fas.2015.01.014

Cited by 14 publications

(5 citation statements)

References 18 publications

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“…As such, hypervigilance and, at times, vigilance may be an outcome state that is imposed on individuals because of circumstances that can be avoided or remedied through adaptations and accommodations. While the possible risks of too much activity on TARs are not well understood, a survey of orthopedic foot and ankle specialists agreed that for most patients, high‐impact exercises and contact sports were the only long‐term activity restrictions (50).…”

Section: Discussionmentioning

confidence: 99%

“I Don’t Have to Think About Watching the Ground”: A Qualitative Study Exploring the Concept of Vigilance as an Important Outcome for Ankle Reconstruction

Pinsker

Sale

Gignac

et al. 2020

Arthritis Care & Research

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Objective To understand patients’ experiences of ankle reconstruction for treatment of end‐stage ankle osteoarthritis. Methods Individuals were recruited from a cohort of individuals who had undergone total ankle replacement or ankle fusion. English‐speaking individuals who had surgery at least 1 year prior were invited to participate. Semistructured, face‐to‐face interviews relying on a phenomenological approach were conducted in a private hospital clinic room. Results A total of 25 adults (12 women, 13 men), ages 25–82 years, were interviewed for 1–2 hours. Participants commonly described a state of having to keep careful watch for potential environmental challenges. Vigilance was related to ongoing symptoms (i.e., pain, stiffness) and concerns regarding balance, stability, and potential damage to the fused ankle or implant. Vigilance was described along a continuum, with higher levels associated with stress and mental exhaustion. Vigilance affected participants’ perception of their surgical outcome, with high vigilance levels linked to negative perceptions of outcome. The degree to which individuals perceived the need for vigilance was influenced by environmental factors like uneven ground or crowds. Contrary to descriptions of vigilance in the coping literature, vigilance related to ankle reconstruction constituted a situational, rather than dispositional, response. Conclusion Vigilance and its associated burden are not captured by current instruments. The mental load and worry associated with vigilance was important to patients, distinct from related pain or functional status. Thus, reducing high levels of vigilance appears to be an appropriate target for patient‐centered treatment outcomes. A thorough battery of outcome measures for ankle reconstruction should consider this domain.

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Section: Discussionmentioning

confidence: 99%

“I Don’t Have to Think About Watching the Ground”: A Qualitative Study Exploring the Concept of Vigilance as an Important Outcome for Ankle Reconstruction

Pinsker

Sale

Gignac

et al. 2020

Arthritis Care & Research

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“…In addition, young age, high body mass index, and poor bone quality are additional risk factors that led orthopaedic surgeons to remain more cautious and restrictive. 6 …”

Section: Discussionmentioning

confidence: 99%

“…There is still a controversy regarding whether patients who underwent TAR can participate in sport and recreational activities. 6 …”

Section: Introductionmentioning

confidence: 99%

Sports and Recreational Activities following Total Ankle Replacement

Usuelli

Pantalone

Maccario

et al. 2017

Joints

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Purpose In literature, there is a controversy regarding whether patients who have undergone total ankle replacement (TAR) can participate in sports and recreational activities. The purpose of this study was to report change in sports activity level after TAR. Methods A retrospective study was performed, enrolling 76 patients with symptomatic end-stage ankle arthritis who underwent TAR from May 2011 to October 2014. Patients were mainly males (44/76; 58%) and 56 years old on average (range: 22.3–79.6 years) at the time of surgery. They were treated with mobile-bearing prosthesis implanted with an anterior approach. Patients were evaluated preoperatively and 12 months postoperatively. Pain and function were assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) ankle and hindfoot score, the visual analog scale (VAS) pain score, and the 12-Item Short Form Health Survey (SF-12) – physical component summary (PCS) and mental component summary (MCS). Activity level was assessed with the University of California at Los Angeles (UCLA) activity scale. Results At 12 months postoperatively, statistically significant increase was reported for AOFAS scores (from 32.8 ± 12.7 preoperatively to 72.6 ± 13.3; p < 0.001), SF-12 PCS (from 34.3 ± 5.1 preoperatively to 45.4 ± 6.4; p < 0.001), and SF-12 MCS (from 39.8 ± 7.5 preoperatively to 51.4 ± 6.1; p < 0.001). A statistically significant decrease was detected in VAS pain score (from 8.7 ± 1.6 preoperatively to 2.2 ± 1.6; p < 0.001). The UCLA activity levels increased significantly from 2.4 ± 0.8 to 6.3 ± 2.3 ( p < 0.001). Conclusion Pain and function significantly improved in patients affected by ankle osteoarthritis, who underwent TAR, at 1-year follow-up. In addition, activity level showed a significant increase respect to preoperative condition. Level of Evidence Level IV, retrospective case series.

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“…Despite the absence of a scientific basis, guidelines for sports activities after TAR have been proposed 33. These correlate closely with the results of a recent survey among foot and ankle surgeons regarding sports activities after TAR 36. When counseling a patient for TAR, the patients’ aspired activity level and types of physical activity should be taken into account, and the patient should be counseled with regard to future sports.…”

Section: General Patient Characteristicsmentioning

confidence: 64%

Patient selection for total ankle arthroplasty

Plaat

Haverkamp

2017

ORR

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Abstract:Total ankle arthroplasty is a treatment option for end-stage osteoarthritis of the ankle, as is ankle arthrodesis. Many variables, including patient characteristics, are thought to influence clinical outcome and survival. As with any surgery, but especially with total ankle replacement (TAR), patient selection is considered critical for good (long-term) outcome. In this review, we summarize the available scientific evidence regarding patient characteristics and its influence on the results of TAR.

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Sport and activity restrictions following total ankle replacement: A survey of orthopaedic foot and ankle specialists

Cited by 14 publications

References 18 publications

“I Don’t Have to Think About Watching the Ground”: A Qualitative Study Exploring the Concept of Vigilance as an Important Outcome for Ankle Reconstruction

“I Don’t Have to Think About Watching the Ground”: A Qualitative Study Exploring the Concept of Vigilance as an Important Outcome for Ankle Reconstruction

Sports and Recreational Activities following Total Ankle Replacement

Patient selection for total ankle arthroplasty

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