It is common practice to restrict weight bearing after ankle fracture open reduction and internal fixation (ORIF) until week 6 postoperatively. However, controversy exists surrounding the optimal postoperative protocol. At our institution, all ankle fractures are made non-weight bearing for 6 weeks across the board. Isolated lateral malleolar fractures after ORIF may benefit from earlier weight bearing in terms of patient satisfaction, short-term functionality, and return to work. The purpose of this study is to determine if early weight bearing at 2 weeks postoperatively for isolated lateral malleolar fractures leads to a higher satisfaction with surgery as compared to standard protocol for postoperative ankle fractures and better functional outcomes
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
64
A CAM boot will be worn on the affected ankle to allow weight bearing
Standard physical therapy protocol will be started at 6 weeks after surgery
Rothman Orthopaedic Institute
Philadelphia, Pennsylvania, United States
Participant Satisfaction with treatment #1
Participant satisfaction will be measured using the Short Form-12 survey (SF-12)
Time frame: 24 weeks
Participant Satisfaction with treatment #2
Participant satisfaction will be measured using the Foot and Ankle Ability Measure (FAAM) scores
Time frame: 24 weeks
Participant Pain after surgery
Participant Pain will be measured using the Visual Analog Scale for Pain (VAS) score
Time frame: 24 weeks
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