Immediate weight-bearing after ankle fracture fixation

Advances in Orthopedics
Reza FiroozabadiJames C Krieg

Abstract

We believe that a certain subset of surgical ankle fracture patients can be made weight-bearing as tolerated immediately following surgery. Immediate weight-bearing as tolerated (IWBAT) allows patients to return to ambulation and activities of daily living faster and may facilitate rehabilitation. 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. Patients were excluded if they were not IWBAT based on specific criteria or if they did meet followup requirement. Only 1/26 patients was noted to have loss of fixation. This was found at the 6-week followup and was attributed to a missed syndesmotic injury. At 2-week followup, 2 patients had peri-incisional erythema that resolved with a short course of oral antibiotics. At 6-week followup, 20 patients were wearing normal shoes and 6 patients continued to wear the CAM Boot for comfort. 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.

References

Jan 1, 1992·Journal of Orthopaedic Trauma·M A MontA R Miller
Feb 1, 1986·Acta Orthopaedica Scandinavica·K SøndenaaA Alho
Oct 1, 1987·Acta Orthopaedica Scandinavica·T AhlG Selvik
Apr 1, 1985·Acta Orthopaedica Scandinavica·M BauerB Nilsson
Feb 1, 1997·The Journal of Bone and Joint Surgery. American Volume·M Järvinen, P Kannus
Dec 23, 2003·The Journal of the American Academy of Orthopaedic Surgeons·James D Michelson
Nov 4, 2004·The Journal of Bone and Joint Surgery. American Volume·Kenneth A EgolKenneth J Koval
Feb 8, 2006·Journal of Orthopaedic Trauma·Christian J P SimanskiBertil Bouillon
Sep 6, 2007·The Journal of Bone and Joint Surgery. British Volume·H J SchockM Stover
Jul 24, 2012·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Michael P StarkweatherJohn M Schuberth

❮ Previous
Next ❯

Citations

Aug 4, 2015·Current Rheumatology Reports·Alesha B Castillo, Philipp Leucht
Sep 17, 2013·The Journal of Arthroplasty·Mehran MoazenEleftherios Tsiridis
Jan 24, 2016·Foot & Ankle International·Eric W TanErik A Hasenboehler
Feb 27, 2017·Der Unfallchirurg·B J BraunT Pohlemann
Oct 6, 2017·The Open Orthopaedics Journal·Xiaojun Duan, Anish R Kadakia
Jul 25, 2019·Journal of Orthopaedic Trauma·Chad P ColesUNKNOWN Orthopaedic Trauma Associationʼs Evidence-Based Quality Value and Safety Committee
Jul 22, 2020·Foot & Ankle International·Austin M LooneyDaniel J Cuttica
Aug 17, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Brian P CunninghamRobert V O'Toole
Nov 7, 2020·Injury·Oliver PearceMichael Kelly
Sep 22, 2021·Archives of Orthopaedic and Trauma Surgery·Marieke S van HalsemaVincent J M Leferink

❮ Previous
Next ❯

Software Mentioned

CAM
IWBAT

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Journal of Orthopaedic Trauma
R SaltzmanM S Mizel
The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
Christian C M A DonkenMichiel H J Verhofstad
Journal of the National Association of Chiropodists
J DOLLER
© 2021 Meta ULC. All rights reserved