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TIBIALIS ANTERIOR REPAIR/RECONSTRUCTION REHABILITATION PROTOCOL. WEIGHT BEARING. ORTHOTIC DEVICES. RANGE OF MOTION. GOALS. EXERCISES. 0-2 weeks.
Anterior Tibial Tendon Reconstruction General Treatment Facts • The goal of this surgery is to return you to full strength and stability in the shortest amount of time. • This surgery will repair the ruptured tendon to prevent foot drop. • You will NOT be able to bear weight on the operative ankle for 2 weeks after surgery. Post Surgery ...
Start PT. GOALS: Reduce edema / decrease pain / ankle PF to neutral DF only. Soft tissue massage, gentle scar mobilization. Modalities as needed to decrease swelling/pain. Gentle PROM of ankle to neutral position only, can do gentle/gradual AROM in plantarflexion. Ham/quad flexibility.
The anterior tibialis tendon repair rehab protocol is a crucial guide to restoring strength and function after surgery. This comprehensive plan provides step-by-step instructions to ensure optimal recovery and successful rehabilitation.
Tendon ruptures of the tibialis anterior are uncommon. That makes it tough to study and come up with treatment guidelines. Should surgery be done to repair or reconstruct the tendon? Will it heal with nonoperative care? How do the results between these two treatment approaches compare?
Tibialis anterior tendon repair surgery involves a number of steps: General anaesthe%c and IV an%bio%cs. Tourniquet around the thigh. Incision on the top of the foot. Exposure of the %bias anterior tendon. Tendon or transfer using sutures and/or bone anchors. Closure of tendon sheath.
The main objective of the anterior tibialis tendon repair is to reduce pain, correct foot deformity, and restore the normal ankle and foot function and walking pattern by reattaching the torn tendon to its normal anatomical position.
Here, a surgical technique is discussed which involves tenodesis of the extensor hallucis longus tendon to the ruptured tibialis anterior tendon with subsequent transfer into the medial cuneiform along with extensor hallux brevis to extensor hallux longus tenodesis distally over the first metatarsophalangeal joint.
ACL Reconstruction Using Tibialis Allograft Physical Therapy Protocol. Phase I: Immediate Post-operative (Days 1 to 7) Day 1. Weight Bearing. • As tolerated with two crutches. Range of Motion. • Full passive extension (0 to 90 degrees) Exercises. Ankle pumps. Heel prop/prone hang. Straight leg raise. Side lying hip abduction/adduction.
Use an anterior approach with an incision over the course of the tibialis anterior tendon (TECH FIG 1). Divide the superior and inferior extensor retinaculum and tibialis anterior sheath. Isolate the remnant of the tibialis anterior tendon.