Undergoing an ankle prosthesis operation means being aware of the way that needs to be followed in order to achieve the expected result and the consequent rehabilitation.

Diversity of other interventions

However, this prosthetics intervention needs to be immediately distinguished from the other ones. In fact, ankle prosthesis surgery is surely more recent than the hip and knee one. Furthermore, the ankle is located in a terminal segment and is exposed to a bigger amount of stress, compared with hips and knees.


Another relevant difference concerns rehabilitation.

While the physiotherapist’s role is often important when we deal with hip and knee surgery, this figure is less fundamental in regard to foot and ankle rehabilitation.

Unlike its old rival, arthrodesis, ankle prosthesis makes a peculiar difference in movements. However, we have to highlight that the ankle movement needed in order to live a normal life must be of …. degrees.

Superior excursions, indeed, are required by dancers or, generally, by athletes.

Therefore, it is a mistake (that sometimes can compromise the surgery) to think that the most important gesture in the post-operative is asking the physiotherapist to move the ankle in order to increase the range of motion.

The fact that, after the operation, the patient comes out of the operating room with a plaster cast, which obviously limits every kind of movement and must be worn for 4-6 weeks, must lead one to think that this is not the primary aim.

These mobilization manoeuvres, made with rubber bands or manually, can indeed lead to serious muscular dysfunctions and to impingements arising with medial pain, which is hard to treat.

That is why, without devaluing the physiotherapist’s image, the one of an important companion who assists us in many typologies of interventions, the physical therapy able to help an operated ankle more is the idrokinesis therapy.

Water rehabilitation


Idrokinesis therapy that is, walking in water, is indeed the healthiest and most balanced rehabilitation you can provide to your ankle.

In fact, water will support you in your steps and will permit to find confidence with load and balance again.

Furthermore, exactly because water will support you, you can focus more on resuming a natural and physiological pace which can be altered after the cast and brace immobilization lasted 6 weeks.

Stretching rehabilitation


Another essential rehabilitative gesture is the posterior leg muscle (calf) stretching. As a matter of fact, the gastrocnemius is a fundamental muscle in preventing muscular problems and in allowing indirectly the intensification of ankle movement, by lengthening the posterior muscles.

The stretching activity must be performed two times a day with the same ordeliness and regularity a pill is taken with. It is not a supplementary gesture, but it is essential for a successful operation.