Joint Classification and Joint Receptors

Question 1

In the event of a tenuous repair, what immobilization protocols/considerations are used. How long? Immobilization with restricted WB approach

Answer 1

• Immobilized 20 degrees of PF
• 6 weeks

Question 2

WB considerations? Immobilization with restricted WB approach

Answer 2

NWB

Question 3

Orthoses considerations? Why? Immobilization with restricted WB approach

Answer 3

CAM orthosis, after period of strict immobilization

• Allowing PF
• Limiting DF to 0 degrees

Question 4

Early Remobilization and weight bearing approach? how long is immobilization used?

Answer 4

less than 3 weeks, in equinus position

Question 5

Early Remobilization and weight bearing approach? WB recommendations

Answer 5

Crutches + WBAT

Question 6

Early Remobilization and weight bearing approach? Orthoses?

Answer 6

CAM brace > generally limiting DF past neutral

6-8 weeks

Question 7

Early Remobilization and weight bearing approach. After use of orthosis what is recommended?

Answer 7

Bilateral Heel Lift

• used to prevent tendon lengthening
• Decrease strain during activity

Question 8

Heel Lift Recommendations

Answer 8

1 - 1.5 cm heel lift

Question 9

POST OP Management Table READ

Answer 9

Question 10

When can Active PF and DF be initiated? Considerations

Answer 10

Must be done in CAM orthosis

• Can be initiated immediately
• or 1-2 weeks post op