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Objective:The purpose of the study is to clarify outcomes of early weight bearing in lower extremity fractures treated operatively and advantage of Immediate-Early weight bearing over LWB mobilization Prospective study A total of 136 skeleta Design: Materials and methods: lly mature patients underwent ankle surgery, 33 of which were allowed immediate weightbearing as tolerated (IWBAT) in the acute postoperative period was taken into study At the scheduled follow-up, patients had wound assessment, radiogra Outcome Measures: phic analysis of fracture reduction maintenance and healing, clinical fracture healing evaluation, and complications requiring further surgery. After 6 months the patients were individually assessed using a Modied American Academy of Orthopaedic Surgeons Foot and Ankle Scale (MAAOSFS) This study Results : 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. Earlier weight-bearing is associated with earlier return to full weight bearing without a reduction in functional outcome scores. IWBAT in a certain subset of patients with stable osteosynthesi Conclusions: s following an ankle fracture is a safe alternative to a period of protected weight-bearing. Earlier weight-bearing has been associated with better mobility, shorter hospital stays, and earlier return to work. 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 xation has been achieved. Conict of Interests The authors declare that there is no conict of interests regarding the publication of this paper |
