Total Ankle Arthroplasty — Total Ankle Replacement

Mammoth Orthopedic Institute / Sierra Park PT · Stephen Knecht MD (US Ski Team Physician)

Weight-Bearing

NWB x4 weeks in CAM boot; PWB progressing to WBAT in CAM boot by 6 weeks; FWB normalizing gait without CAM boot wks 6-8

Key Restrictions

PROM DF/PF only x4-6 weeks (no inversion/eversion ROM); no inversion/eversion resistance x8 weeks (isometrics ok from wk 4); no running x12 weeks

Timeline & Phases

4 phases: Phase I (wks 2-4, NWB CAM boot, PROM DF/PF only), Phase II (wks 4-6, PWB-WBAT CAM boot, ankle isometrics and foot intrinsics), Phase III (wks 6-8, wean CAM boot, full ankle ROM all planes, bilateral balance), Phase IV (wks 8-12, walking/hiking/biking, single leg balance, no running x12 weeks)

Notes

PT begins 2 weeks post-op; no running x12 weeks; return to sport test required before cutting motions; Stephen Knecht MD US Ski Team Physician

Surgeon / Author

Stephen Knecht MD (US Ski Team Physician)