Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach
According to the conventional postoperative procedure after total ankle arthroplasty (TAA), mobilization and weight-bearing is currently started after completion of wound healing. Recently, early mobilization for dorsiflexion after TAA with modified antero-lateral approach was reported to be feasibl...
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| Veröffentlicht in: | Modern rheumatology 2024-10, Vol.34 (6), p.1258-1264 |
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| creator | Sakata, Manabu Hirao, Makoto Noguchi, Takaaki Okamura, Gensuke Higuchi, Yusei Tabuse, Yuki Etani, Yuki Ebina, Kosuke Tsuboi, Hideki Miyama, Akira Takahi, Koichiro Takami, Kenji Tsuji, Shigeyoshi Okada, Seiji Hashimoto, Jun |
| description | According to the conventional postoperative procedure after total ankle arthroplasty (TAA), mobilization and weight-bearing is currently started after completion of wound healing. Recently, early mobilization for dorsiflexion after TAA with modified antero-lateral approach was reported to be feasible and safe. To investigate the further possibility of expediting rehabilitation, this study evaluated the feasibility and safety of early full weight-bearing and gait exercise after cemented TAA.
This retrospective, observational study investigated 23 consecutive ankles (OA: 14 ankles, RA: 9 ankles) that had received cemented TAA with a modified antero-lateral approach. These ankles were divided into three groups 1. conventional postoperative protocol, 2. early dorsiflexion protocol, 3. early dorsiflexion+full weight-bearing protocol. Postoperative wound complications were observed and recorded. Number of days for hospitalization was also evaluated.
No postoperative complications related to wound healing were observed even after early full weight-bearing and gait exercise. Days for hospitalization was significantly shortened in early full weight-bearing and gait exercise group (group 3) from 35-38 days to 24 days.
Within this small number of cases, early full weight-bearing and gait exercise from 7 days after cemented TAA was feasible and safe with the modified antero-lateral approach. Combination of early dorsiflexion mobilization and weight-bearing/gait exercise contributed to shortening the hospitalization day. Innovations in postoperative procedures for rehabilitation after TAA can be expected. |
| doi_str_mv | 10.1093/mr/roae005 |
| format | Article |
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This retrospective, observational study investigated 23 consecutive ankles (OA: 14 ankles, RA: 9 ankles) that had received cemented TAA with a modified antero-lateral approach. These ankles were divided into three groups 1. conventional postoperative protocol, 2. early dorsiflexion protocol, 3. early dorsiflexion+full weight-bearing protocol. Postoperative wound complications were observed and recorded. Number of days for hospitalization was also evaluated.
No postoperative complications related to wound healing were observed even after early full weight-bearing and gait exercise. Days for hospitalization was significantly shortened in early full weight-bearing and gait exercise group (group 3) from 35-38 days to 24 days.
Within this small number of cases, early full weight-bearing and gait exercise from 7 days after cemented TAA was feasible and safe with the modified antero-lateral approach. Combination of early dorsiflexion mobilization and weight-bearing/gait exercise contributed to shortening the hospitalization day. Innovations in postoperative procedures for rehabilitation after TAA can be expected.</description><identifier>ISSN: 1439-7595</identifier><identifier>ISSN: 1439-7609</identifier><identifier>EISSN: 1439-7609</identifier><identifier>DOI: 10.1093/mr/roae005</identifier><identifier>PMID: 38252306</identifier><language>eng</language><publisher>England</publisher><subject>Aged ; Aged, 80 and over ; Ankle Joint - physiopathology ; Ankle Joint - surgery ; Arthroplasty, Replacement, Ankle - methods ; Arthroplasty, Replacement, Ankle - rehabilitation ; Exercise Therapy - methods ; Female ; Gait - physiology ; Humans ; Male ; Middle Aged ; Retrospective Studies ; Treatment Outcome ; Weight-Bearing</subject><ispartof>Modern rheumatology, 2024-10, Vol.34 (6), p.1258-1264</ispartof><rights>Japan College of Rheumatology 2024. Published by Oxford University Press. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site–for further information please contact journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c212t-abeeccdaf43d4d1063944b78758bcf37f43b1e3274cabc02eecf49ca576dbd173</cites><orcidid>0000-0002-1408-7851</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38252306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sakata, Manabu</creatorcontrib><creatorcontrib>Hirao, Makoto</creatorcontrib><creatorcontrib>Noguchi, Takaaki</creatorcontrib><creatorcontrib>Okamura, Gensuke</creatorcontrib><creatorcontrib>Higuchi, Yusei</creatorcontrib><creatorcontrib>Tabuse, Yuki</creatorcontrib><creatorcontrib>Etani, Yuki</creatorcontrib><creatorcontrib>Ebina, Kosuke</creatorcontrib><creatorcontrib>Tsuboi, Hideki</creatorcontrib><creatorcontrib>Miyama, Akira</creatorcontrib><creatorcontrib>Takahi, Koichiro</creatorcontrib><creatorcontrib>Takami, Kenji</creatorcontrib><creatorcontrib>Tsuji, Shigeyoshi</creatorcontrib><creatorcontrib>Okada, Seiji</creatorcontrib><creatorcontrib>Hashimoto, Jun</creatorcontrib><title>Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach</title><title>Modern rheumatology</title><addtitle>Mod Rheumatol</addtitle><description>According to the conventional postoperative procedure after total ankle arthroplasty (TAA), mobilization and weight-bearing is currently started after completion of wound healing. Recently, early mobilization for dorsiflexion after TAA with modified antero-lateral approach was reported to be feasible and safe. To investigate the further possibility of expediting rehabilitation, this study evaluated the feasibility and safety of early full weight-bearing and gait exercise after cemented TAA.
This retrospective, observational study investigated 23 consecutive ankles (OA: 14 ankles, RA: 9 ankles) that had received cemented TAA with a modified antero-lateral approach. These ankles were divided into three groups 1. conventional postoperative protocol, 2. early dorsiflexion protocol, 3. early dorsiflexion+full weight-bearing protocol. Postoperative wound complications were observed and recorded. Number of days for hospitalization was also evaluated.
No postoperative complications related to wound healing were observed even after early full weight-bearing and gait exercise. Days for hospitalization was significantly shortened in early full weight-bearing and gait exercise group (group 3) from 35-38 days to 24 days.
Within this small number of cases, early full weight-bearing and gait exercise from 7 days after cemented TAA was feasible and safe with the modified antero-lateral approach. Combination of early dorsiflexion mobilization and weight-bearing/gait exercise contributed to shortening the hospitalization day. Innovations in postoperative procedures for rehabilitation after TAA can be expected.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ankle Joint - physiopathology</subject><subject>Ankle Joint - surgery</subject><subject>Arthroplasty, Replacement, Ankle - methods</subject><subject>Arthroplasty, Replacement, Ankle - rehabilitation</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Weight-Bearing</subject><issn>1439-7595</issn><issn>1439-7609</issn><issn>1439-7609</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwzAMhiME4mNw4QegHBFSIWmaZTmiaXxIk7jAuXITdwuk60hSjfHrCdrgYlv249fWS8glZ7ecaXHXhbvQAzImD8gpr4Qu1Jjpw79aanlCzmJ8Z0xIPdHH5ERMSlkKNj4l3zMIfkvbwXu6QbdYpqJBCG61oLCydAEuUfzCYFxECm3CQA12uEpoaeoT-Ix9-DwKaRn6tYeYtnTj0pIC7XrrWpdByHjoPeT4u7Be53fN8pwcteAjXuzziLw9zF6nT8X85fF5ej8vTMnLVECDaIyFthK2spyNha6qRk2UnDSmFSr3G46iVJWBxrAy022lDUg1to3lSozI9U43n_0cMKa6c9Gg97DCfoh1qbmSsmSKZ_Rmh5rQxxiwrdfBdRC2NWf1r9d1F-q91xm-2usOTYf2H_0zV_wApbR-0Q</recordid><startdate>20241015</startdate><enddate>20241015</enddate><creator>Sakata, Manabu</creator><creator>Hirao, Makoto</creator><creator>Noguchi, Takaaki</creator><creator>Okamura, Gensuke</creator><creator>Higuchi, Yusei</creator><creator>Tabuse, Yuki</creator><creator>Etani, Yuki</creator><creator>Ebina, Kosuke</creator><creator>Tsuboi, Hideki</creator><creator>Miyama, Akira</creator><creator>Takahi, Koichiro</creator><creator>Takami, Kenji</creator><creator>Tsuji, Shigeyoshi</creator><creator>Okada, Seiji</creator><creator>Hashimoto, Jun</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1408-7851</orcidid></search><sort><creationdate>20241015</creationdate><title>Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach</title><author>Sakata, Manabu ; Hirao, Makoto ; Noguchi, Takaaki ; Okamura, Gensuke ; Higuchi, Yusei ; Tabuse, Yuki ; Etani, Yuki ; Ebina, Kosuke ; Tsuboi, Hideki ; Miyama, Akira ; Takahi, Koichiro ; Takami, Kenji ; Tsuji, Shigeyoshi ; Okada, Seiji ; Hashimoto, Jun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c212t-abeeccdaf43d4d1063944b78758bcf37f43b1e3274cabc02eecf49ca576dbd173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ankle Joint - physiopathology</topic><topic>Ankle Joint - surgery</topic><topic>Arthroplasty, Replacement, Ankle - methods</topic><topic>Arthroplasty, Replacement, Ankle - rehabilitation</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Gait - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakata, Manabu</creatorcontrib><creatorcontrib>Hirao, Makoto</creatorcontrib><creatorcontrib>Noguchi, Takaaki</creatorcontrib><creatorcontrib>Okamura, Gensuke</creatorcontrib><creatorcontrib>Higuchi, Yusei</creatorcontrib><creatorcontrib>Tabuse, Yuki</creatorcontrib><creatorcontrib>Etani, Yuki</creatorcontrib><creatorcontrib>Ebina, Kosuke</creatorcontrib><creatorcontrib>Tsuboi, Hideki</creatorcontrib><creatorcontrib>Miyama, Akira</creatorcontrib><creatorcontrib>Takahi, Koichiro</creatorcontrib><creatorcontrib>Takami, Kenji</creatorcontrib><creatorcontrib>Tsuji, Shigeyoshi</creatorcontrib><creatorcontrib>Okada, Seiji</creatorcontrib><creatorcontrib>Hashimoto, Jun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Modern rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakata, Manabu</au><au>Hirao, Makoto</au><au>Noguchi, Takaaki</au><au>Okamura, Gensuke</au><au>Higuchi, Yusei</au><au>Tabuse, Yuki</au><au>Etani, Yuki</au><au>Ebina, Kosuke</au><au>Tsuboi, Hideki</au><au>Miyama, Akira</au><au>Takahi, Koichiro</au><au>Takami, Kenji</au><au>Tsuji, Shigeyoshi</au><au>Okada, Seiji</au><au>Hashimoto, Jun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach</atitle><jtitle>Modern rheumatology</jtitle><addtitle>Mod Rheumatol</addtitle><date>2024-10-15</date><risdate>2024</risdate><volume>34</volume><issue>6</issue><spage>1258</spage><epage>1264</epage><pages>1258-1264</pages><issn>1439-7595</issn><issn>1439-7609</issn><eissn>1439-7609</eissn><abstract>According to the conventional postoperative procedure after total ankle arthroplasty (TAA), mobilization and weight-bearing is currently started after completion of wound healing. Recently, early mobilization for dorsiflexion after TAA with modified antero-lateral approach was reported to be feasible and safe. To investigate the further possibility of expediting rehabilitation, this study evaluated the feasibility and safety of early full weight-bearing and gait exercise after cemented TAA.
This retrospective, observational study investigated 23 consecutive ankles (OA: 14 ankles, RA: 9 ankles) that had received cemented TAA with a modified antero-lateral approach. These ankles were divided into three groups 1. conventional postoperative protocol, 2. early dorsiflexion protocol, 3. early dorsiflexion+full weight-bearing protocol. Postoperative wound complications were observed and recorded. Number of days for hospitalization was also evaluated.
No postoperative complications related to wound healing were observed even after early full weight-bearing and gait exercise. Days for hospitalization was significantly shortened in early full weight-bearing and gait exercise group (group 3) from 35-38 days to 24 days.
Within this small number of cases, early full weight-bearing and gait exercise from 7 days after cemented TAA was feasible and safe with the modified antero-lateral approach. Combination of early dorsiflexion mobilization and weight-bearing/gait exercise contributed to shortening the hospitalization day. Innovations in postoperative procedures for rehabilitation after TAA can be expected.</abstract><cop>England</cop><pmid>38252306</pmid><doi>10.1093/mr/roae005</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1408-7851</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Modern rheumatology, 2024-10, Vol.34 (6), p.1258-1264 |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Aged, 80 and over Ankle Joint - physiopathology Ankle Joint - surgery Arthroplasty, Replacement, Ankle - methods Arthroplasty, Replacement, Ankle - rehabilitation Exercise Therapy - methods Female Gait - physiology Humans Male Middle Aged Retrospective Studies Treatment Outcome Weight-Bearing |
| title | Early full weight-bearing and gait exercise after cemented total ankle arthroplasty with a modified anterolateral approach |
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