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Related Concept Videos

Ankle Joint01:10

Ankle Joint

2.1K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Oct 28, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

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Outpatient total ankle replacement.

Maxime Sadoun1, Alexandre Hardy2, Victoire Cladière3

  • 1Department of Orthopedics, Ambroise Paré University Hospital, AP-HP, Versailles Saint-Quentin-en-Yvelines University, 9 Avenue Charles de Gaulle, 92100, Boulogne-Billancourt, Paris, France.

International Orthopaedics
|July 18, 2021
PubMed
Summary
This summary is machine-generated.

Outpatient total ankle replacement (TAR) is safe and effective when focusing on bleed control, pain management, and patient autonomy. This approach allows for same-day discharge, minimizing complications and enabling routine adoption.

Keywords:
Outpatient surgeryPain controlTotal ankle replacement

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Area of Science:

  • Orthopedic Surgery
  • Musculoskeletal System
  • Biomedical Engineering

Background:

  • Total ankle replacement (TAR) is increasingly popular, with a growing trend towards outpatient procedures mirroring hip and knee replacements.
  • Established protocols for outpatient hip and knee replacements provide a foundation for adapting similar models to TAR.

Purpose of the Study:

  • To evaluate the safety and feasibility of an outpatient protocol for total ankle replacement (TAR).
  • To test the hypothesis that outpatient TAR can be performed safely as a standard procedure.

Main Methods:

  • A specific outpatient protocol was developed and applied to 25 consecutive TAR patients.
  • The protocol emphasized three core principles: bleed control (tranexamic acid), pain control (nerve block, NSAIDs), and patient autonomy (immediate full weight-bearing).

Main Results:

  • No patients required readmission for acute care, hematoma, or uncontrolled pain after outpatient TAR.
  • Mean Visual Analog Scale (VAS) pain scores were low (<1 pre-discharge, <2 at 90 days).
  • One patient experienced delayed wound healing, managed surgically without implant revision.

Conclusions:

  • Outpatient total ankle replacement is a safe and viable option when employing a risk management process.
  • Adherence to bleed control, pain control, and patient autonomy is crucial for successful outpatient TAR.
  • This outpatient approach is considered a routine and effective modality for suitable patients.