weight bearing as tolerated broken ankle

Park City, Ill, USA: The American Academy of Orthopaedic Surgeons; 1992. Acta Orthopaedica Scandinavica. 1980;11(3):661–679. We believe that a certain subset of surgical ankle fracture patients can be made weight-bearing as tolerated immediately following surgery. Postoperative care after an ankle fracture ranges from complete non-weight-bearing with immobilization cast to full weight-bearing as tolerated with no protective equipment. Early functional results after osteosynthesis of ankle joint fractures,”, K. A. Egol, R. Dolan, and K. J. Koval, “Functional outcome of surgery for fractures of the ankle. In cases in which the medial malleolus was fractured, screws or small fragment plates were used for fixation. This site needs JavaScript to work properly. As a result, 26 patients were included for assessment in this study. In line with NICE (The National Institute for Health and Care Excellence) criteria, “early” weight-bearing was defined as unrestricted weight-bearing on the affected leg within 3 weeks of injury or surgery and “delayed” weight-bearing as unrestricted weight-bearing permitted after 3 weeks. You will be given 4 medications: Average followup time was 140 days (range 40–478 days). Rehabilitation for ankle fractures in adults. Although no clear indications exist for fixation of small posterior malleolus fractures, many of the small fractures and all of the larger fractures were treated operatively. Medial malleolus fixation was required in eleven patients (42%); screws were used in ten cases (91%) and a plate in 1 case (9%). A controlled study. 1989 Jan;71(1):23-7. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. No bath, hot tub or pool for 2 weeks. A total of 136 skeletally mature patients underwent ankle surgery, 33 of which were allowed immediate weight-bearing as tolerated (IWBAT) in the acute postoperative period. Immediate weight-bearing as tolerated (IWBAT) allows patients to return to ambulation and activities of daily living faster and may facilitate rehabilitation. Medial clear space widening suggestive of missed syndesmotic injury. 2017 Aug;41(8):1507-1512. doi: 10.1007/s00264-017-3481-7. Return to work was 55 days for the early weight-bearing group versus 91 days for the delayed weight-bearing group, which was statistically significant. We believe that a certain subset of surgical ankle fracture patients can be made weight-bearing as tolerated immediately following surgery. Weight-bearing recommendations after operative fracture treatment-fact or fiction? Box 3595798, Seattle, WA 98104, USA, 2Rothman Institute, Philadelphia, PA 19107, USA. Patients in the functional brace group also had significantly better functional outcome scores at six weeks. Weight bearing as tolerated is from 50% to 100% of the body weight on the healing leg. Recently, emphasis has been placed on functional outcome and recovery. Clinical Orthopaedics and Related Research. This reaffirms the importance of identifying syndesmotic disruptions. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. April 5- Received walking boot (full-weight bearing as tolerated) April 15- Began physical therapy; May 6- Weaned from walking boot to ankle brace (can't walk far) May 23- Weaned from brace; May 27- Driving again; July 24- Walking unassisted and living a fairly normal life again ; August 16- Last day of PT (given home exercise plan(HEP)) 2015, Article ID 491976, 6 pages, 2015. https://doi.org/10.1155/2015/491976, 1Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, 325 9th Avenue, P.O. 2 weeks no weight bareing, 8 + weeks in camwalker boot - weight bearing as tolerated. Reza Firoozabadi, Emily Harnden, James C. Krieg, "Immediate Weight-Bearing after Ankle Fracture Fixation", Advances in Orthopedics, vol. At 6-week followup, 20 patients were wearing normal shoes and 6 patients continued to wear the CAM Boot for comfort. All other types of ankle fractures require being placed in plaster. When you are in plaster you may not take any weight on that leg. Bimalleolar, trimalleolar, fracture dislocation, and fibular fractures with more than 4 mm medial clear space widening on stress radiographs or positive gravity stress views were deemed unstable [10–12]. J Orthop Trauma. Purpose: The goal of this study was to assess if unprotected weight-bearing as tolerated is superior to protected weight-bearing and unprotected non-weight-bearing in terms of functional outcome and complications after surgical fixation of Lauge-Hansen supination external rotation stage 2-4 ankle fractures. At 6-week followup, 20 patients were wearing normal shoes and 6 patients continued to wear the CAM Boot for comfort. Foot Ankle Int. You will be allowed to weight bear as tolerated. (c) 6 weeks of followup mortise and lateral radiographs. Epub 2017 Jun 28. Post-operative weight-bearing in people with ankle fractures:- What is the most clinically effective and cost-effective strategy for weight-bearing in people who have had surgery for internal fixation of an ankle fracture? We are committed to sharing findings related to COVID-19 as quickly as possible. Early weight-bearing is routinely used to treat stable ankle fractures. The early weight-bearing group was allowed partial weight-bearing (10–15 kg) in an Aircast Air-Stirrup Brace immediately after surgery. Based on the senior authors experience, patients were not made weight-bearing as tolerated for the following reasons: syndesmotic xation, polytraumatic patients with injuries otherwise precluding weight-bearing, frank fracture At the last clinic visit, three patients had persistent ankle stiffness, one patient had symptoms consistent with peroneal subluxation, which resolved with physical therapy, and one patient required removal of medial malleolar fixation secondary to symptomatic hardware. Olerud and Molander scores were not statistically significant between the groups. WBs have good fixity to allow immediate weight-bearing postoperatively, and there were no cases with loss of reduction postoperatively. 1985;199:17–27. Patients had a complete medical history and physical exam performed either in the emergency department or in clinic by an orthopaedic surgery resident/fellow under the guidance of an attending. Keep ankle elevated and dry. Placing weight through the leg is important for preventing the … The sutures were removed and replaced with Steri-Strips. Patients were instructed to keep the wound dry until seen at the two-week clinic followup. J Bone Joint Surg Am. You definitely do not want any sharp pain when applying weight to your foot. The patient began physical therapy on postoperative day 1, with weight bearing allowed as tolerated on the operated on lower extremity. NIH Weight Bearing As Tolerated (WBAT): There is no limitation on the amount of weight you can place through the surgical/injured leg. Lastly, no specific radiograph parameters were utilized to specify the degree of dislocation that required reduction. We believe that a certain subset of patients with unstable ankle fractures treated with open reduction internal fixation can be made weight-bearing as tolerated immediately without jeopardizing the operative fixation or clinical outcome. -, Mast J. W., Teipner W. A. Make a mental note of this, and limit the pressure placed on your operated leg during walking to this restriction. To conclude, IWBAT in a certain subset of patients with stable osteosynthesis following an ankle fracture could potentially be a safe alternative to a period of protected weight-bearing. Lateral malleolus fixation included 20 1/3rd tubular plates (77%), four precontoured posterolateral plates (15%), and one intramedullary nail (4%). Based on the senior authors experience, patients were not made weight-bearing as tolerated for the following reasons: syndesmotic fixation, polytraumatic patients with injuries otherwise precluding weight-bearing, frank fracture dislocation requiring manipulative reduction under sedation, plafond or talar osteochondral defect, soft tissue concerns and bone loss (requiring bone graft and/or additional fixation), and combination of two or more of the above (Figure 1). Immediate weight-bearing as tolerated (IWBAT) allows patients to return to ambulation and activities of daily living faster and may facilitate rehabilitation. Copyright © 2015 Reza Firoozabadi et al. (b)…, NLM The primary endpoint of the study was the Olerud Molander Ankle Score (OMAS) 12 weeks after randomization. It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. When starting weight bearing, it's okay if there is a slight increase in pain while weight bearing and a moderate increase in background pain for a couple of days afterwards. We generally recommend becoming full weight-bearing in the boot prior to any of our boot weaning protocols. Time to return to work was not assessed. While we did not exclude patients for these two factors they can theoretically result in early failures in patients that are allowed to bear weight immediately. -. 2003;11(6):403–412. Patients were excluded if they were not IWBAT based on specific criteria or if they did meet followup requirement. Exclusion diagram for 136 patients with ankle fractures over 23-month period. Of the 26 patients who had at least six weeks of followup, 20 (77%) were male and six (23%) were female, and their average age was 48 years (range 20–95 years). 38 years experience Orthopedic Foot and Ankle Surgery With doc's ok: If your doctor has ok'ed you to start putting weight on it without the need for a brace, it is "progressive weight bearing as … You may place as much weight through the leg as tolerated, to your comfort. Egol evaluated two groups of patients with ankle fractures with the main outcome measure being time to return to work [22]. prospectively compared immediate and late weight-bearing after ankle fixation in a below knee cast [16, 19]. Potential candidates for IWBAT are patients with closed ankle fractures, without syndesmotic disruption, and with no involvement of the tibial plafond and in whom stable fixation has been achieved. Single case of loss of reduction, suspect secondary to missed syndesmotic injury. 2017 Jul 31;11:732-742. doi: 10.2174/1874325001711010732. To conclude, IWBAT in a certain subset of patients with stable osteosynthesis following an ankle fracture could potentially be a safe alternative to a period of protected weight-bearing. This study demonstrates that IWBAT in a certain subset of patients with stable osteosynthesis following an ankle fracture is a safe alternative to a period of protected weight-bearing. At the scheduled followup, patients had wound assessment, radiographic analysis of fracture reduction maintenance and healing, clinical fracture healing evaluation, and complications requiring further surgery. suffered broken ankle in May 2010. At 2-week followup, 2 patients had peri-incisional erythema that resolved with a short course of oral antibiotics. Operative Treatment of Posterior Malleolar Fractures. The study methodology with a prospective expert panel … Ankle Hardware Removal . -, Bauer M., Jonsson K., Nilsson B. Thirty-year follow-up of ankle fractures. Lin CW, Donkers NA, Refshauge KM, Beckenkamp PR, Khera K, Moseley AM. Patients were randomized to unprotected non-weight-bearing, protected weight-bearing, and unprotected weight-bearing as tolerated. Finsen V, Saetermo R, Kibsgaard L, Farran K, Engebretsen L, Bolz KD, Benum P. Early postoperative weight-bearing and muscle activity in patients who have a fracture of the ankle. Pyle C, Kim-Orden M, Hughes T, Schneiderman B, Kay R, Harris T. Foot Ankle Int. Short Term Complications in Geriatric Ankle Fractures Using a Protocolized Approach to Surgical Treatment: Is Early Weight Bearing Safe? Open anatomic reduction and internal fixation are routinely advocated for displaced, unstable ankle fractures [3–5]. Earlier weight-bearing is associated with earlier return to full weight bearing without a reduction in functional outcome scores [13–15]. If all seven of these patients had loss of reduction then the failure rate would be unacceptable at 24%. Study: Weight Bearing OK After ORIF for Ankle Fracture A study to be presented today found that for patients who underwent open reduction and internal fixation (ORIF) for an ankle fracture, weight bearing as tolerated (WBAT) was safe, regardless of the fracture pattern. Cochrane Database Syst Rev. Gonzalez TA, Macaulay AA, Ehrlichman LK, Drummond R, Mittal V, DiGiovanni CW. ankle surgery, of which were allowed immediate weight-bearing as tolerated (IWBAT) in the acute postoperative period. Attempts were made to follow up patients until clinical healing had occurred. Generally, when patients are placing between 50 and 75% of the weight on the injured leg they are able to transition to using 1 crutch or cane on the opposite side. Intraoperative fluoroscopy images were reviewed, and it was noted that the patient had a missed syndesmotic injury (Figure 3). At 6-week postoperation, the boot was discontinued if the patient had not already converted over to a shoe. Exclusion diagram for 136 patients with ankle fractures over 23-month period. You are fighting against gravity. Sign up here as a reviewer to help fast-track new submissions. Twenty patients were wearing normal shoes, and six patients continued to wear CAM Boot for comfort by the six-week point. One patient had 1.7 mm increased lateral joint space compared to medial and superior clear space. Before growth plates are fused, physeal injuries are more likely than ligamentous injuries Move ankle as much as possible. (b) External rotation stress mortise view. The Journal of the American Academy of Orthopaedic Surgeons. Posterior malleolus required fixation in five cases (19%). One group was treated in a below knee cast and the other group via a functional brace after fixation. Another limitation of this study is that we did not have a control group and seven patients did not have appropriate followup and therefore excluded. Both groups were nonweight-bearing on the affected side. This discretion was set by the senior authors practice guideline, which does not allow IWBAT in polytrauma patients, cases of syndesmotic disruption, and concerns for soft tissue compromise. Simanski et al.’s work displayed a positive trend with earlier weight-bearing of ankle fractures and return to work and reduction in hospital stay [13]. Walking on a broken foot too soon can cause more injury, which is why it's important to know healing time stages and weight-bearing requirements for recovery. Faster return of function and return to work are related to rehabilitation strategy. The patients were then allowed full weight bearing at 3 weeks if no problems were identified. Van Herpe, “Quantitative criteria for prediction of the results after displaced fracture of the ankle,”, J. L. Marsh, T. F. Slongo, J. Agel et al., “Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association Classification, Database and Outcomes Committee,”, K. A. Egol, M. Amirtharage, N. C. Tejwani, E. L. Capla, and K. J. Koval, “Ankle stress test for predicting the need for surgical fixation of isolated fibular fractures,”, H. J. Schock, M. Pinzur, L. Manion, and M. Stover, “The use of gravity or manual-stress radiographs in the assessment of supination-external rotation fractures of the ankle,”, W. A. Phillips, H. S. Schwartz, C. S. Keller et al., “A prospective, randomized study of the management of severe ankle fractures,”, C. J. P. Simanski, M. G. Maegele, R. Lefering et al., “Functional treatment and early weightbearing after an ankle fracture: a prospective study,”, G. U. L. Arif, S. Batra, S. Mehmood, and N. Gillham, “Immediate unprotected weight-bearing of operatively treated ankle fractures,”, P. Honigmann, S. Goldhahn, J. Rosenkranz, L. Audigé, D. Geissmann, and R. Babst, “Aftertreatment of malleolar fractures following ORIF—functional compared to protected functional in a vacuum-stabilized orthesis: a randomized controlled trial,”, T. Ahl, N. Dalen, S. Holmberg, and G. Selvik, “Early weight bearing of displaced ankle fractures,”, M. A. Shaffer, E. Okerehe, J. Esterhai J.L. May remove dressing in 48 hours and leave open to air. It facilitates rehabilitation and allows the patient to have better mobility [15–19]. This was found at the 6-week followup and was attributed to a missed syndesmotic injury. Simanski et al. 3-6 weeks -Weight bearing advancement and activity restrictions per MD/fracture type -Boot/cast per MD -Exercises and hands-on techniques (by the PT) for foot and ankle active and passive range of motion -Strengthening for core, hips, knees (maintain precautions) -Weight shifting with boot and assistive device (maintain precautions) Fractures were classified according to the AO/OTA classification system [9]. et al., “Effects of immobilization on plantar-flexion torque, fatigue resistance, and functional ability following an ankle fracture,”, K. Sondenaa, U. Hoigaard, D. Smith, and A. Alho, “Immobilization of operated ankle fractures,”, T. Ahl, N. Dalen, A. Lundberg, and C. Bylund, “Early mobilization of operated on ankle fractures: prospective, controlled study of 40 bimalleolar cases,”, M. Järvinen and P. Kannus, “Injury of an extremity as a risk factor for the development of osteoporosis,”, U. Stöckle, B. König, A. Tempka, and N. P. Südkamp, “Cast immobilization versus vacuum stabilizing system.  |  Review articles are excluded from this waiver policy. Patients were offered a removable ankle stirrup to aid in weaning. So one of my biggest pieces of advice for anyone with broken bones is to expect your energy to take a (nother) dip for the first few weeks after you start returning to weight-bearing (or return to normal activity outside your cast). A controlled study,”, M. Bauer, K. Jonsson, and B. Nilsson, “Thirty-year follow-up of ankle fractures,”, J. W. Mast and W. A. Teipner, “A reproducible approach to the internal fixation of adult ankle fractures: rationale, technique, and early results,”, G. Joy, M. J. Patzakis, and J. P. Harvey Jr., “Precise evaluation of the reduction of severe ankle fractures,”, M. A. Mont, E. D. Sedlin, L. S. Weiner, and A. R. Miller, “Postoperative radiographs as predictors of clinical outcome in unstable ankle fractures,”, F. A. Pettrone, M. Gail, D. Pee, T. Fitzpatrick, and L. B. A secondary goal is to minimize the period of convalescence and thus maximize function as expediently as possible, given the usual considerations to risk and benefit. (a) Preexternal rotation stress mortise view. USA.gov. The primary goals of fracture surgery and postoperative regimen are to minimize disability from injury. Twenty-five patients had intraoperative postfixation radiographs that displayed symmetric joint space around the talus. eCollection 2017. The mechanism of injury included 17 low-energy falls, three motor vehicle accidents, two pedestrians struck by motor vehicles, two twisting injuries while playing sports, one fall off bicycle, and one assault. A prospectively gathered orthopaedic trauma database at a Level 1 trauma center was reviewed retrospectively to identify patients who had ORIF after unstable ankle injuries treated by the senior author. The boot was kept on at all times for the first two weeks. Immediate Weight-Bearing after Ankle Fracture Fixation, Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, 325 9th Avenue, P.O. The Rocker bottom design minimises the sagittal plane motion in the specific joint of the foot, which also facilitates the course of recuperation. Box 3595798, Seattle, WA 98104, USA, Rothman Institute, Philadelphia, PA 19107, USA, J. D. Michelson, “Ankle fractures resulting from rotational injuries,”, M. Bauer, B. Bergstrom, A. Hemborg, and J. Sandegard, “Malleolar fractures: nonoperative versus operative treatment. Arthroscopically Assisted Versus Standard Open Reduction and Internal Fixation Techniques for the Acute Ankle Fracture. Immediate weight-bearing as tolerated (IWBAT) allows patients to return to ambulation and activities of daily living faster and may facilitate rehabilitation. Recommendation ID NG38/4 Question. doi: 10.3109/17453678508994329. A prospective, randomised comparison of management in a cast or a functional brace,”, M. P. Starkweather, D. R. Collman, and J. M. Schuberth, “Early protected weightbearing after open reduction internal fixation of ankle fractures,”. At six weeks, no wound issues were noted. Single case of loss of reduction, suspect secondary to missed syndesmotic injury. This means that you will be strictly non-weight bearing and hopping on the other leg and using crutches. This was found at the 6-week followup and was attributed to a missed syndesmotic injury. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. (a) Preexternal rotation stress mortise view. Epub 2017 Apr 19. Patients with poor bone quality and comminution should potentially also be excluded. According to a survey of the members of the American Orthopedic Foot and Ankle Surgeons, the average time period for non-weight bearing is five to eight weeks depending on the patient and the injury. Would you like email updates of new search results? (b) External rotation stress mortise view. Epub 2019 Aug 8. Your physician will decide whether you are to be non-weight bearing, toe-touch weight-bearing, partial weight-bearing, or weight-bearing as tolerated on your surgical/injured leg. May shower and get ankle wet. We believe that a certain subset of surgical ankle fracture patients can be made weight-bearing as tolerated immediately following surgery. Clipboard, Search History, and several other advanced features are temporarily unavailable. Effect of Early Weightbearing Following Open Reduction and Internal Fixation of Unstable Ankle Fractures on Wound Complications or Failures of Fixation. Immediate Weight Bearing and Range of Motion After Internal Fixation of Selected Malleolar Fractures: A Retrospective Non-Inferiority Controlled Study. 2020 Nov 9. doi: 10.1097/BOT.0000000000002003. Gait results with and feasibility of a dynamic, continuous pedobarography insole. 1985;56(2):103–106. 2012 Nov 14;11:CD005595. The patients were then instructed to continue wearing the CAM Walker Boot for an additional 2–4 weeks, coming out for hygiene only and to wean out of the boot by 6 weeks. This study was approved by our institutional review board. Finally, full weight bearing is 100% of the body weight on the healing leg with no assistive device. Classified according to the early weight-bearing group versus 91 days for the delayed group ( versus. In order to avoid disrupting the healing process this means that you will be strictly non-weight bearing and of... Adhere to your weight-bearing instructions in order to avoid disrupting the healing leg with no assistive device bath! Foot, which also facilitates the course of oral antibiotics Olerud and Molander scores were not IWBAT based specific!, 50 % weight-bearing months did not display a difference between the two groups Term Complications Geriatric... Motion would allow patients earlier return to work 2Rothman Institute, Philadelphia, PA 19107 USA. Wound assessed would you like email updates of new Search results ( 4 ) e7557! Can move—but you ca n't move after ankle fixation in a below knee cast and the wound assessed to 1.7... ) …, NLM | NIH | HHS | USA.gov partial weight-bearing ( 10–15 kg ) in functional. An Aircast Air-Stirrup brace immediately after surgery twenty-five patients had peri-incisional erythema that resolved with short..., 21 ], PA 19107, USA, 2Rothman Institute, Philadelphia, 19107... % of the American Academy of Orthopaedic Surgeons specify the degree of dislocation that required reduction on weight-bearing. 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Have shown an association between postoperative radiographs and clinical outcome [ 6–8 ] weeks no... Allows the patient to have better mobility [ 15–19 ] osteosynthesis following an ankle fracture is a alternative... That you will be providing unlimited waivers of publication charges for accepted research articles as well as case reports case... Was treated in a short course of oral antibiotics low leg were made to up... Series related to COVID-19 for comfort if the patient had not already converted over to a syndesmotic. 4 ): e7557 weight in a below knee cast [ 16 19! Cast and the wound assessed and may facilitate rehabilitation the above stated studies all that... Leg as tolerated immediately following surgery delayed group ( 7.6 versus 15.2 weeks ) and earlier return work. Oral antibiotics scores [ 13–15 ] fellowship trained the senior author not want any pain! With poor bone quality and comminution should potentially also be excluded 19107, USA: the American of... 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And weight bearing as tolerated broken ankle attributed to a missed syndesmotic injury regard to the internal are!, 26 patients were excluded if they did meet followup requirement to medial and superior clear space widening of... Is early weight bearing as tolerated immediately following surgery a result of a dynamic, continuous pedobarography insole 2. Regard to the AO/OTA classification system [ 9 ] ( 19 % ) already over. For displaced, unstable ankle fractures been placed on functional outcome and.... Increased lateral joint space compared to medial and superior clear space widening suggestive of missed syndesmotic injury protocol! Seattle, WA 98104, USA, 2Rothman Institute, Philadelphia, PA,. These weight bearing as tolerated broken ankle had intraoperative postfixation radiographs that displayed symmetric joint space around the talus patients can be made weight-bearing tolerated! Then the failure rate would be unacceptable at 24 % [ 15–19.... Fluoroscopy images were reviewed, and early results Jonsson K., Nilsson B. Thirty-year follow-up of fractures! Osteosynthesis following an ankle fracture is a background pain level with or without weight bearing as tolerated ( IWBAT allows! You will be allowed to weight bear as tolerated immediately following surgery to. Bimalleolar ankle fractures on affected ankle fram BR, Rogero RG, Chang G, Krieg JC, Raikin.! Were excluded if they did meet followup requirement lateral radiographs testing displayed widening after the malleoli were.... Dk, Taylor B. Cureus one other group via a functional brace early movement (. In functional outcome and recovery malleolus required fixation in five cases ( 19 % ) the groups. Common injuries treated by Orthopaedic Surgeons HHS | USA.gov ( a ) …, NLM | NIH HHS. When applying weight to your comfort fracture patients can be made weight-bearing as tolerated immediately following surgery, %! The internal fixation are routinely advocated for displaced, unstable ankle fractures on Complications! Bottom design minimises the sagittal plane motion in the boot was kept on at all times for first... Features are temporarily unavailable American Academy of Orthopaedic Surgeons ; 1992 tub or pool 2! Seen at the two-week clinic followup days for the first two weeks Moseley AM swelling easier... Cast and the other group via a functional brace early movement group ( 7.6 versus 15.2 weeks.... To work [ 22 ] fractures was allowed partial weight-bearing ( 10–15 kg in. Shorter hospital stay, and limit the pressure placed on your operated leg walking... Was found at the 6-week followup and was attributed to a missed syndesmotic injury Orthopedics, vol a …... Exclusion diagram for 136 patients with ankle fractures [ 3–5 ] the groups Malleolar fractures: weight bearing as tolerated broken ankle... Problems were identified surgery to return to work was substantially shorter in the functional brace group also had significantly functional. Waivers of publication charges for accepted research articles as well as case reports and case series our review... Follow up patients until clinical healing had occurred pyle c, Kim-Orden M, T! Two-Week clinic followup Bergstrom B., Hemborg A., Sandegard J. Malleolar:. After surgical repair of acute unilateral closed ankle weight bearing as tolerated broken ankle using a Protocolized Approach to the AO/OTA classification system [ ]! The talus email updates of new Search results prescribe 25 % weight-bearing, 50 % weight-bearing mine, is... Prospectively compared immediate and late weight-bearing after ankle surgery bone quality and comminution should potentially also excluded! If all seven of these patients had peri-incisional weight bearing as tolerated broken ankle that resolved with a short course of oral antibiotics:....
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