Total ankle replacement – surgical treatment and rehabilitation

Prusinowska, Agnieszka; Krogulec, Zbigniew; Turski, Piotr; Przepiórski, Emil; Małdyk, Paweł; Księżopolska-Orłowska, Krystyna

doi:10.5114/reum.2015.50555

Cited by 13 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We believe that partial weight-bearing and maintaining immobilization for 6 weeks is a reasonable approach facilitating bone ongrowth. It is advisable to remember the remark by Prusinowska et al [ 24 ] that supination and pronation exercises should be started only when complete active motions of flexion and extension are restored, as failure to follow that principle may lead to the destabilization of the ankle joint and damage of the prosthesis fixing. It is particularly important to intensify PT after removing the walker boot and to implement balance and proprioception training during this rehabilitation phase.…”

Section: Discussionmentioning

confidence: 99%

Perioperative Physiotherapy for Total Ankle Replacement in Patients with Inherited Bleeding Disorders: Outline of an Algorithm

Kotela

Wilk-Frańczuk

Jaczewska³

et al. 2017

Med Sci Monit

View full text Add to dashboard Cite

The treatment of end-stage hemophilic arthropathy of the ankle joint remains a controversial problem, and total ankle replacement (TAR) is considered to be a valuable management option. Physiotherapy continues to be an extremely important part of TAR and has a tremendous impact on the outcomes of this procedure. Given the lack of data on the latter, this study details a protocol of perioperative physiotherapy in TAR in patients with inherited bleeding disorders (IBD).The protocol outlined in this paper was devised via consultations within an interdisciplinary group, the authors’ own experiences with TAR in hemophilic and non-hemophilic patients, previous reports on this issue in the literature, and patient opinions. Our working group followed the criteria of the International Classification of Functioning, Disability and Health.The algorithm includes 4 physiotherapy phases with specified time frames, aims, interventions, and examples of exercises for each phase. We emphasize the importance of preoperative rehabilitation, and recommend introducing intensive physiotherapy immediately after the surgery, with regard to the wound protection and avoiding full weight-bearing in the first weeks. The intensity of physiotherapy should be adjusted individually depending on individual patient progress.This study details a rehabilitation protocol for TAR in patients with IBDs, which can be equally applicable to clinicians and researchers. Further scientific studies are required to investigate the beneficial effect of different protocols as well as to clarify the effectiveness of various frequencies, durations, and intensities of selected interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

Perioperative Physiotherapy for Total Ankle Replacement in Patients with Inherited Bleeding Disorders: Outline of an Algorithm

Kotela

Wilk-Frańczuk

Jaczewska³

et al. 2017

Med Sci Monit

View full text Add to dashboard Cite

show abstract

“…The incidence of this deformity increases with age. Prusinowska et al [9] found that the incidence is 3% in individuals aged 15-30, 9% in those aged 31-60, and 16% in individuals above 60 years of age.…”

Section: Bunionsmentioning

confidence: 99%

The effect of high-heeled footwear on the induction of selected musculoskeletal conditions and potential beneficial uses in prophylaxis and management

Wójcik¹

2019

hpc

View full text Add to dashboard Cite

Authors' contribution Wkład autorów: A. Study design/planning zaplanowanie badań B. Data collection/entry zebranie danych C. Data analysis/statistics dane-analiza i statystyki D. Data interpretation interpretacja danych E. Preparation of manuscript przygotowanie artykułu F. literature analysis/search wyszukiwanie i analiza literatury G. Funds collection zebranie funduszy Summary Footwear is, first and foremost, an essential wardrobe component, without which it is difficult to imagine an ordinary working day. High-heeled shoes are mainly worn for aesthetic reasons, and to enhance the slenderness of the female body. Badly fitting footwear can lead to the development of several medical conditions affecting function of the foot as well as the wider musculoskeletal system. Foot deformations correlate highly with the type of footwear being worn. The most commonly occurring foot disorders caused by wearing high heels are: bunions, hammer toe, mallet toe, claw toe, and flat feet. These types of shoes can also cause injuries such as sprains, dislocations and fractures around the ankle joint and in the foot itself. Highheeled footwear may have an effect not only on the foot, but also on the whole limb, including the spine and pelvis, as destructive changes around the foot affect the entire biokinematic chain, and being the first component of this chain they impede movement and negatively impact the function of other joints. Over time, inappropriate function of the foot joints results in dysfunction of other joints located higher, disrupting correct body posture. The aim of this work is to draw the readers' attention to the effects of wearing high-heeled footwear, both the negative and positive, though the latter are extremely rare.

show abstract

“…It is often caused by biological and mechanical occurrences disordering a synthesis and triggering the defeneration of the articular cartilage, in chondrocytes and an extracellular matrix as well as in the subchondral layer of the bone [5,6,7,8]. There are several conditions causing limitations in the mobility of the shoulder joint, including [7,9]:…”

Section: Replacement Of the Shoulder Jointmentioning

confidence: 99%

The design and structural analysis of the endoprosthesis of the shoulder joint

2017

View full text Add to dashboard Cite

Abstract. The shoulder joint is a crucial element of the upper limb and is necessary to maintain full mobility during daily activities. Similar as in the hip, it is an example of a ball and socket joint, enabling articulation between the head of the humerus and the glenoid cavity of the scapula. By studying kinematics of upper limb s, it is possible to distinct several possible movements in the shoulder joint. Due to many painful diseases and medical conditions, it may be crucial to perform a pain reducing procedure, like shoulder joint replacement. In order to preserve the function of the joint, the endoprosthesis should be designed exclusively for the patient. To assess a scale of damage in the joint or its specific structure, the shoulder was scanned using the computed tomography procedure. Results of the scan were processed with the use of Materialise Mimics software, which converts standard 2D images into 3D CAD models. Necessary analysis and measurements were taken leading to the beginning of the designing process. The prosthesis was created using Solid Edge software, developed especially for the purpose of rapid prototyping. After determining the physical properties of structural materials, the Finite Elements Analysis of the model was conducted using SolidWorks Simulation software under various load conditions.

show abstract

Total ankle replacement – surgical treatment and rehabilitation

Cited by 13 publications

References 7 publications

Perioperative Physiotherapy for Total Ankle Replacement in Patients with Inherited Bleeding Disorders: Outline of an Algorithm

Perioperative Physiotherapy for Total Ankle Replacement in Patients with Inherited Bleeding Disorders: Outline of an Algorithm

The effect of high-heeled footwear on the induction of selected musculoskeletal conditions and potential beneficial uses in prophylaxis and management

The design and structural analysis of the endoprosthesis of the shoulder joint

Contact Info

Product

Resources

About