Early Weight Bearing for Ankle Fracture
Trial Summary
The protocol does not specify if you need to stop taking your current medications. However, if you are on osteoporosis medications like bisphosphonates, Prolia, or Forteo, you are not eligible for the trial.
The available research shows that Early Weight Bearing (EWB) for ankle fractures can be effective. One study found that patients who started walking immediately after surgery had better short-term ankle function compared to those who waited. Another study reported that most patients could wear normal shoes just six weeks after surgery, with only one out of 26 patients experiencing a problem with the surgical fix. Additionally, a review of several studies found no significant long-term differences between early and delayed weight bearing, suggesting that EWB can be a safe option. Overall, these studies indicate that EWB can help patients recover faster without increasing the risk of complications.
12345Several studies suggest that early weight bearing after ankle fracture fixation can be safe for certain patients. Immediate weight-bearing as tolerated (IWBAT) showed low complication rates, with only 1 out of 26 patients experiencing loss of fixation due to a missed injury. Other studies found no significant differences in long-term outcomes between early and delayed weight bearing, although early weight bearing improved short-term ankle function. However, early mobilization may increase the risk of postoperative complications. Overall, early weight bearing can be a safe alternative for specific fracture patterns, but further research is needed to refine protocols.
12346Yes, Early Weight Bearing is a promising treatment for ankle fractures. It allows patients to walk and return to daily activities faster, improves short-term ankle function, and is generally safe without increasing long-term complications.
12345Eligibility Criteria
Adults over 18 with certain types of ankle or tibial plateau fractures that have been surgically treated can join this trial. Excluded are those with severe soft tissue injuries, syndesmotic injuries, upper limb weight-bearing limitations, morbid obesity (BMI ≥40), psychiatric disorders affecting compliance, and other conditions like neuropathy or osteoporosis.Inclusion Criteria
Exclusion Criteria