Full-Weightbearing Following Ankle Fractures Surgically Treated - The FAST-Mobility Trial
Rehabilitation of Surgically Treated Ankle Fractures
About this trial
This is an interventional treatment trial for Rehabilitation of Surgically Treated Ankle Fractures
Eligibility Criteria
Inclusion Criteria:
Patients aged above 18 years Independently living and mobile
Preoperative imaging:
- Unimalleolar fracture: Radiographs in two planes or unilateral CT
- Bi-/Trimalleolar fracture: Unilateral CT Isolated ankle fracture (uni-/ bi-/ trimalleolar fracture)
Surgical treatment:
- Posterior malleolus: Undisplaced fracture: Treatment according to the surgeon's preference; Displaced (≥2mm) fragment of sufficient size (approximately ≥10% of the lateral distal tibia): Open reduction and internal fixation using screw(s) and / or plate(s); Displaced (≥2mm), small fragment (approximately <10% of the lateral distal tibia): Treatment according to the surgeon's preference.
- Lateral malleolus: Open reduction and internal fixation by plate ± compression screw(s).
- Medial malleolus: Closed or open reduction and internal fixation by screw(s) and / or plate(s) osteosynthesis.
- Bony avulsions of the AiTFL (Wagstaffe-Fragment / Tubercule des Chaput): Treatment according to the surgeon's preference.
- Lesions to the Deltoid ligament: Treatment according to the surgeon's preference.
- Arthroscopic assisted fracture treatment: Decision up to the individual surgeon
Postoperative imaging:
- Unimalleolar fracture: Radiographs in two planes or unilateral CT
- Bi-/Trimalleolar fracture: Uni- or bilateral CT Capable of reading and completing the study consent
Exclusion Criteria:
- Age under 18 Surgical stabilization of the distal tibio-fibular joint by syndesmotic screw or dynamic stabilization Concomitant injuries, Charcot neuroarthropathy, pre-existing arthritis, deformity
Tibial pilon fractures, Non-operative treatment
Inability to provide consent, or declining participation
Sites / Locations
- Department of Trauma Surgery, Medical University of MunichRecruiting
Arms of the Study
Arm 1
Experimental
Early pain dependent weight-bearing without immobilization
Patients are advised to conduct pain-dependent full weight-bearing starting at the day of study inclusion. In case of severe swelling, a splint or below knee cast can be applied until the initial swelling subsides, but no longer than 14 days. Otherwise, no immobilization is applied. The use of crutches is allowed per the individual patients demands. The physiotherapists at the individual study centers are informed prior to study initiation and are briefed about each patient enrolled in the study. Each patient is handed an information sheet for their outpatient physiotherapist.