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Ankle fusion is considered to be the gold standard for treatment of end-stage ankle arthritis. [1] It trades joint mobility for relief from pain. Ankle fusion has also been used to resolve foot drop in certain circumstances. [2] [3] Complications of ankle fusion may include infection, non-union, and, rarely, amputation. [1]
The blood clot is very delicate after surgery and needs to be protected. In terms of time, the clot takes about 8 to 15 weeks for conversion to fibrous tissue and is usually fibrocartilage by about four months post surgery, holding implications for the rehabilitation. [14]
Ankle replacement, or ankle arthroplasty, is a surgical procedure to replace the damaged articular surfaces of the human ankle joint with prosthetic components. This procedure is becoming the treatment of choice for patients requiring arthroplasty, replacing the conventional use of arthrodesis , i.e. fusion of the bones.
MUA after TKA is more likely to be to be successful if performed in the first 8–12 weeks after surgery. After 12 weeks manipulation is much less likely to have an acceptable outcome. If the fibrosis is chronic (more than 12 weeks) there is a decreased likelihood of success with MUA, and open lysis of adhesions is sometime performed.
The rehabilitation is often long and demanding. The main reason is that it takes a long time for the cartilage cells to adapt and mature into repair tissue. Cartilage is a slow adapting substance. Where a muscle takes approximately 35 weeks to fully adapt itself, cartilage only undergoes 75% adaptation in 2 years.
According to The Athletic's Fred Katz, the 26-year-old Robinson underwent tests on the ankle Tuesday afternoon. As of now, no surgery is planned and he will attempt to rehab the injury.
On the second day after surgery, active flexion exercises of the ankle are initiated. Suture removal takes place approximately 12-14 days after the operation. Around 3 weeks after surgery, patients are usually advised to engage in non-weight-bearing exercises such as swimming and bicycling.
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