TAA

Question 1

what would warrant surgery

Answer 1

failure of non op management

instab is significant and c deformity

Question 2

discuss implant designs for TAA

Answer 2

2 component fixed bearing
- more limited movement but higher stab

3 component mobile bearing designs
- more deg of freedom

Question 3

immob considerations for Tibiofibular syndesmosis or subtalar fusion

Answer 3

~ 6 wks

Question 4

immob considerations for achilles tendon repair

Answer 4

> 6 wks

Question 5

immob considerations for no bony fusion or soft tissue repair

Answer 5

~ 2-3 wks

Question 6

immob considerations for cementless fixation

Answer 6

6 wks

Question 7

pos of immob fot TAA

Answer 7

neutral ankle c short leg cast

Question 8

WB considerations for cementless

Answer 8

min to WBAT - immed or p 2 wks

NWB for 3-6 wks

Question 9

WB considerations for Tibiofibular syndesmosis

Answer 9

NWB for 6 wks

Question 10

WB considerations for Hindfoot fusion

Answer 10

NWB for 6 wks

Question 11

WB considerations for Malleolar fracture requiring stabilization

Answer 11

NWB for 6 wks

Question 12

discuss max prot phase for TAA

Answer 12

~ 6 wks

mod and elvation

AROM in pain free range - pflex dflex only and delay inversion/eversion for 4-6 wks

muscle sets

amb training c AD and immobilizer

Question 13

mod to min prot phase for TAA

Answer 13

~ 6 mo.

mod and elevation

AROM in OKC-CKC
low intensity stretching

OKC - CKC ex

balance ex and proprio

NO PLYOS or HIGH IMPACT