Immediate Weight-Bearing after Ankle Fracture Fixation
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...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/491976 |
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| author | Reza Firoozabadi Emily Harnden James C. Krieg |
| author_facet | Reza Firoozabadi Emily Harnden James C. Krieg |
| author_sort | Reza Firoozabadi |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-ede6748c869642a8b3fa5d97fe5b8c80 |
| institution | DOAJ |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-ede6748c869642a8b3fa5d97fe5b8c802025-08-20T03:20:43ZengWileyAdvances in Orthopedics2090-34642090-34722015-01-01201510.1155/2015/491976491976Immediate Weight-Bearing after Ankle Fracture FixationReza Firoozabadi0Emily Harnden1James C. Krieg2Department of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, 325 9th Avenue, P.O. Box 3595798, Seattle, WA 98104, USADepartment of Orthopaedics and Sports Medicine, Harborview Medical Center, University of Washington, 325 9th Avenue, P.O. Box 3595798, Seattle, WA 98104, USARothman Institute, Philadelphia, PA 19107, USAWe 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.http://dx.doi.org/10.1155/2015/491976 |
| spellingShingle | Reza Firoozabadi Emily Harnden James C. Krieg Immediate Weight-Bearing after Ankle Fracture Fixation Advances in Orthopedics |
| title | Immediate Weight-Bearing after Ankle Fracture Fixation |
| title_full | Immediate Weight-Bearing after Ankle Fracture Fixation |
| title_fullStr | Immediate Weight-Bearing after Ankle Fracture Fixation |
| title_full_unstemmed | Immediate Weight-Bearing after Ankle Fracture Fixation |
| title_short | Immediate Weight-Bearing after Ankle Fracture Fixation |
| title_sort | immediate weight bearing after ankle fracture fixation |
| url | http://dx.doi.org/10.1155/2015/491976 |
| work_keys_str_mv | AT rezafiroozabadi immediateweightbearingafteranklefracturefixation AT emilyharnden immediateweightbearingafteranklefracturefixation AT jamesckrieg immediateweightbearingafteranklefracturefixation |