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Related Concept Videos

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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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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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Persistent postoperative radiographic edema as a prognostic marker associated with wound complications and revision risk following anterior approach total ankle arthroplasty: A retrospective review.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons·2026
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Return to work after total ankle replacement.

Michael J Radcliffe1, Ramez Sakkab2, Julien Trevare3

  • 1Phoenix Foot & Ankle Institute, Scottsdale, AZ, USA.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|December 10, 2025
PubMed
Summary
This summary is machine-generated.

Patients return to work after total ankle replacement (TAR), with sedentary jobs resuming in under 3 weeks and laborious jobs taking over 13 weeks. Manual labor workers need significantly more time to return to work post-TAR.

Keywords:
Ankle replacementEmploymentOutcomesReturn to workTotal ankle arthroplasty

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Area of Science:

  • Orthopedic surgery
  • Reconstructive surgery
  • Patient outcomes

Background:

  • Total ankle replacement (TAR) is increasingly performed on working adults for end-stage osteoarthritis.
  • Return to work is a critical measure of success following TAR, alongside pain relief and functional improvement.

Purpose of the Study:

  • To determine the average time to return to work after total ankle replacement (TAR).
  • To analyze factors influencing return to work timelines in patients undergoing TAR.

Main Methods:

  • Retrospective review of 53 patients who underwent primary TAR between January 2019 and January 2024.
  • Inclusion criteria: employed, under 65, minimum 6-month follow-up. Exclusion criteria: prior ankle fusion, Workers' Compensation claims, psychological disease.
  • Primary outcome: time to return to work. Secondary outcomes: patient-reported outcomes, reoperation/revision rates.

Main Results:

  • Mean return to sedentary work: 2.73 weeks; mean return to laborious work: 13.15 weeks.
  • 9.4% of patients retired or reduced their work role post-TAR.
  • Significant improvements in patient outcome scores were observed post-operatively, with low complication rates and no revisions at short-term follow-up.

Conclusions:

  • Most employed patients successfully return to work after total ankle replacement (TAR).
  • Manual labor workers require substantially longer recovery periods, averaging over four times the time needed for sedentary workers.