Rehab Ankle ORIF

Sports Medicine
Center for Musculoskeletal Care
333 East 38th Street
New York, NY 10016
Tel: (646) 501-7223 (RACE)
501
Rehabilitation Protocol: Ankle Open Reduction Internal Fixation
Name:____________________________________________________________Date:___________________________________
Diagnosis:_______________________________________________________DateofSurgery:______________________
Week0-4:
- Patientnonweightbearinginsplintwithankleinequinnus(toestowardground)
- At2weeks,splintremoved,woundchecked,andplacedintoacast
Week4-8:
- Castremoved
- Patientplacedintoaboot
- PWBinbootfrom4-6weeks.CanWBATinbootafter6weeks.
- Bootdiscontinuedat8weeks
- Passive/activedorsiflexionandplantarflexionstretch
- Inversion/EversionROMexercises
- Begindorsiflexionandplantarflexionisometricsandprogresstoisotonics
- Canstartridingastationarybicycle
- Shouldbewalkingonatreadmillwithweanupto3.5mph
Week9-11:
- Advancestrengthening
Week12+:
- Canbeginjogging,stairmaster
- Addisokinetics
- Increasestrengthening,endurance,proprioception,flexibilityexercise
- Initiatesportspecificdrillswithgradualreturntoathleticsatorafter16weeks
Comments:
Frequency:______timesperweek Duration:________weeks
Signature:_____________________________________________________Date:___________________________