Total Ankle Arthroplasty Rehabilitation Protocols
3 Total Ankle Arthroplasty rehabilitation protocols from 3 institutions, published 2023. Weight-bearing progressions vary by institution — compare them in the table below before selecting a protocol.
Compare by institution
| Institution | Weight-Bearing | Key Restrictions |
|---|---|---|
| Mammoth Orthopedic Institute / Sierra Park PT — Total Ankle… | NWB x4 weeks in CAM boot; PWB progressing to WBAT in CAM boot by 6 weeks; FWB normalizing… | PROM DF/PF only x4-6 weeks (no inversion/eversion ROM); no inversion/eversion resistance x8 weeks (isometrics… |
| Massachusetts General Hospital | NWB on crutches in splint wks 0-2; NWB walking wks 3-5 (may WB in boot standing only for… | Elevation 'toes above nose' critical (max 2-3 hrs below heart first 2 wks); swelling normal up to 6-12… |
| Sanford Health — Total Ankle Arthroplasty | NWB in post-op splint x 2 wks; boot with WB per physician wks 2-6; wean from boot to shoe… | AROM/PROM begin at wk 2; closed chain ankle ROM at 6-10 wks; pain and swelling can persist due to procedure… |
All 3 Total Ankle Arthroplasty protocols
Total Ankle Arthroplasty — Total Ankle Replacement
Mammoth Orthopedic Institute / Sierra Park PT
Total Ankle Arthroplasty
Massachusetts General Hospital
Surgical — Total Ankle Arthroplasty
Sanford Health