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rehabilitation) have evolved considerably from non-surgical treatment to open reconstruction to minimally invasive techniques. The transition to surgical treatment was predominantly driven by lower re-rupture rates and better functional results but at the cost of
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protocols of immobilisation and rehabilitation. RICE protocol The acronym stands for the four main procedural methods of treatment of the ankle: Rest, Ice, Compression and Elevation, which can be performed in the first 2-3 days. Patients are
Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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Department of Orthopedic and Rehabilitation, University of Iowa, Iowa, USA
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Department of Surgery, Universidad de La Laguna, Tenerife, Spain
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Department of Surgery, Universidad de Sevilla, Sevilla, Spain
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patient’s objection to the postoperative unloading protocol and rehabilitation. There is some controversy about the limits for supra-malleolar osteotomies. Tanaka et al. suggest that stage 3B ankle OA is no longer a candidate for joint-preserving surgery
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performed without using a tourniquet. Post-operative rehabilitation Partial weight-bearing and early functional rehabilitation are recommended for at least six weeks in most cases after successful reduction and fixation with LCP have been performed
Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, Spain
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nerve conduction through the posterior tibial nerve usually predicts failure of conservative treatment. 49 Conservative management includes activity modification, pain relief drugs, physical and rehabilitation medicine, and corticosteroid injections
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to make strong statements about prefered management strategies, we would need to perform studies which directly compare interventions; ideally, RCTs would be used. There is also poor consistency in post-operative rehabilitation protocols, and no
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measurements of balance in subjects with chronic ankle instability: a randomized controlled trial . Archives of Physical Medicine and Rehabilitation 2015 96 2169 – 2175 . ( https://doi.org/10.1016/j.apmr.2015.06.022 ) 19 Holmes A & Delahunt E
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Department of Surgery, EOC, Service of Orthopaedics and Traumatology, Lugano, Switzerland
Faculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland
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Physical Medicine and Rehabilitation 2005 84 649 – 654 . ( https://doi.org/10.1097/01.phm.0000176339.73591.d7 ) 5. Ahmad J Ahmad SH & Jones K . Treatment of plantar fasciitis with botulinum toxin . Foot and Ankle International 2017 38 1 – 7
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nerve injury results in a weakness of ankle musculature, which is evident during rehabilitation. 35 Conservative and surgical treatments have been described for peroneal nerve palsy. In all cases, complete recovery occurred within 3 weeks to 6
University of Brighton, UK
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Brighton and Sussex Medical Schools, UK
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rehabilitative options are available. 30 Figure 4 demonstrates a total contact cast. Fig. 4 Total contact casting in a patient with Charcot neuroarthropathy. The patient may bear weight in the cast but it is changed weekly. The TCC when