The document discusses various types of ankle injuries and treatments. It focuses on ankle arthritis, cartilage defects, and ligament injuries. For cartilage defects, it recommends treating the worst lesion with cartilage grafting from the tibia. Rehabilitation for cartilage grafting involves initial non-weight bearing, continuous passive motion therapy, and a early emphasis on regaining full range of motion. Rehabilitation for ankle injuries generally should provide protection, improve joint mechanics and gait, enhance proprioception, and restore patient function.

1. Ankle Injuries

3. Ankle Arthritis Hardware Pain

6. Articular Cartilage Paste Grafting: Talus

7. Articular Cartilage Paste Grafting: Talus

8. Articular Cartilage Paste Grafting: Talus

9. Articular Cartilage Paste Grafting: Talus

10. Articular Cartilage Paste Grafting: Talus

11. Articular Cartilage Paste Grafting: Talus 2 nd Look LA 07-14-1999

12. Articular Cartilage Paste Grafting: Talus 2 nd Look LA 07-14-1999

18. Chondral Defect MC 03-27-2001

19. Treated Chondral Defect MC 03-27-2001

20. ANKLE SURGERY SUMMARY • Treat the lesion • Treat it early with minimal tissue disruption • Treat instability if chronic • Rehabilitate the ankle thoroughly

21. ANKLE REHABILITATION GENERAL CONSIDERATIONS • Protection in all phases • Appropriate joint mechanics and gait • Proprioceptive and functional training • Goal is to restore and improve patients function

23. ANKLE: POST-INJURY & POST-OPERATIVE PROTECTION AIR CAST walker boot AIR CAST splint ASO Ankle stabilizer

24. ANKLE: POST-OPERATIVE REHAB bi-lateral leg biking feet on ball bridges

25. ANKLE: EARLY REHAB soft tissue mobilization (edema control) soft tissue mobilization

26. ANKLE: MID REHAB fibular glide talo-crual glides

27. ANKLE: MID REHAB ankle PNF monster walk

28. ANKLE: MID REHAB single leg bridging proprioceptive training

29. ANKLE: LATE REHAB Trampoline jog proprioceptive challenge

30. ANKLE: LATE REHAB bongo board lateral excursion test

31. ANKLE REPAIR: PLYOMETRICS lateral leaps diagonal leap

32. ANKLE REHABILITATION TIMING CONSIDERATIONS • Progress according to constant re-assessment • Phase can last from 2-days to 2-wks or more • Be as aggressive as possible without doing harm • Educate the patient at every phase