{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:02:27Z","timestamp":1789862547845,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Foot Ankle Int."],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Limited dorsiflexion (DF) after total ankle arthroplasty (TAA) is a challenge that has been associated with worse functional outcomes and lower patient-reported satisfaction. The purpose of this study was to identify predictive variables for limited DF following TAA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted on patients who underwent elective primary TAA between 2013 and 2023 by a single surgeon. Postoperative range of motion (ROM) was assessed using weight-bearing lateral radiographs obtained in maximal DF and plantarflexion (PF). Limited DF was defined as &lt;20\u00b0 and preoperative DF was based solely on clinical assessment (C-DF). Demographic variables, medical comorbidities, surgical history, and adjunctive procedures, including gastrocnemius recession and tendo-Achilles lengthening (TAL), were collected and compared between patients who achieved full vs limited postoperative DF. Additionally, Foot and Ankle Ability Measure activities of daily living subscale (FAAM-ADL) and visual analog scale (VAS) scores were collected. Multivariable logistic regression was performed to identify independent predictors of final DF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 175 patients were included in this study, with 111 (63.4%) demonstrating limited postoperative DF and 64 (36.6%) achieving full DF at a mean 3.3\u2009years. Age was significantly greater in the full DF group (65.5 vs 61.5\u2009years,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.013). No significant associations were identified between body mass index \/ weight, tobacco use, diabetes, sex, medical comorbidities, polyethylene size, or adjuvant procedures and postoperative DF following TAA. Prior open reduction internal fixation was more prevalent in patients with limited DF (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.05), whereas postoperative FAAM-ADL scores were more favorable in the full DF group (70.0 vs 86.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.010). Multivariable regression analyses identified full C-DF as the only significant independent predictor of improved postoperative DF following TAA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preoperative clinical dorsiflexion was the only significant independent predictor of postoperative dorsiflexion following TAA. A thorough preoperative discussion regarding anticipated postoperative motion can help establish appropriate expectations and potentially enhance patient satisfaction following TAA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10711007261457413","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:30:34Z","timestamp":1783333834000},"page":"1178-1186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of Limited Weight-Bearing Dorsiflexion Following Total Ankle Arthroplasty"],"prefix":"10.1177","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0615-2613","authenticated-orcid":false,"given":"Grant M.","family":"Thomas","sequence":"first","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6655-5581","authenticated-orcid":false,"given":"Joseph A. S.","family":"McCahon","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Jefferson Health NJ, Stratford, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoni","family":"Dulitzki","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongxuan","family":"Chen","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1308-9038","authenticated-orcid":false,"given":"Selene G.","family":"Parekh","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"},{"name":"Princeton University, Princeton, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph N.","family":"Daniel","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David I.","family":"Pedowitz","sequence":"additional","affiliation":[{"name":"Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200611000-00007"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B11.31633"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.98B5.36887"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221115185"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221136539"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.24.00983"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720965144"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.17.01021"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1269061"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/19417381211019683"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198510000-00010"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231198515"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717718130"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720977847"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007221132284"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716645391"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720955145"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.22.00060"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/17453670710014248"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715579717"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715604392"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715606477"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100715585575"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100716655435"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100718806474"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14176178"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-017-5405-7"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714565902"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100720969618"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100714539662"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007231199963"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198510000-00006"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2012.06.035"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/1071100713481433"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1177\/10711007241230554"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jfas.2022.12.005"}],"container-title":["Foot &amp; 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