June 15th at 6pm via ZOOM - Ankle Arthritis: Fusion versus Replacement... Current Concepts
June 15th at 6pm via ZOOM - Ankle Arthritis: Fusion versus Replacement... Current Concepts

When persistent ankle arthritis challenges a patients quality of life and conservative management has been unsuccessful, it may be time to consider surgical treatment. This course will discuss surgical options to treat advanced ankle arthritis including ankle fusion and arthroplasty. Dr. Natalie Mesnier of Multnomah Orthopedics will discuss the current concepts around ankle fusion and arthroplasty and what the implications are for rehabilitation.

Speaker biography

Dr. Natalie Mesnier is a board-certified Orthopedic Surgeon, who obtained her medical degree at Northwestern University Medical School, completed residency at the University of Pittsburgh, and a fellowship at the Institute for Foot and Ankle Reconstruction at Mercy Hospital.  As a sub specialist in Orthopedic Foot and Ankle Reconstruction, she provides specialty care for lower extremity trauma, fractures, sports injuries, arthritis conditions, adult congenital or acquired deformities and benign lesions.  She focuses on minimally invasive deformity correction and is passionate about patient care and improving patient function. 

Education and Training

Medical Degree - NorthWestern University Medical School - Chicago, IL

Orthopaedic Surgery Residency - University of Pittsburgh

Fellowship in Foot and Ankle Reconstruction - Institute for Foot and Ankle Reconstruction - Baltimore, MD


  • Americal Academy of Orthopaedic Surgeons
  • American Orthopaedic Foot and Ankle Society
  • G.R.E.C.M.I.P. (Group of Study and Research in Minimally Invasive Surgery of the Foot)
  • Oregon Association of Orthopaedic Surgeons
  • Oregon Medical Association
  • American Medical Association

Course Objective(s)

At the end of this course participants will be able to:

Describe ankle fusion and ankle arthroplasty

Identify rehab priorities for patients post op ankle fusion and arthroplasty

Prepare patients for long term success after ankle fusion and arthroplasty

Recognize patients who may benefit from a referral to an orthopedic surgeon to consider surgical ankle treatment for advanced arthritis

Course Outline

What is the prevalence of total ankle arthroplasty?  Why has it become more common?

How does ankle fusion work?

How does ankle arthroplasty work? 

What are the outcomes for fusion vs arthroplasty?  

Who is appropriate for arthroplasty? 

Post-op rehab focus



June 15, 2022 6-7pm Online via ZOOM

Registration Information

Target Audience: Physical Therapists and Assistants providing rehabilitation to patients after ankle fusion or arthroplasty.

Registration Fee: The registration fee is as follows: 

$10 for Providence employees, $25 for all other participants. Registration fees cover participation in online ZOOM course and electronic certificate of attendance.  

Refund Policy: No refunds are offered for this program.

Contact Hours: This course qualifies for 1 contact hour for Physical Therapists and Physical Therapy Assistants in Oregon, Washington and New York.  This course may qualify for CE credit in additional states with approval.  Please email rehab.courses@providence.org if you are interested in obtaining CE credit in another state. Certificates of attendance will be issued to all participants completing the CEU requirements.