Early vs Delayed Weight-Bearing for Ankle Injury

This trial examines the optimal timing for weight-bearing on a surgically fixed ankle with syndesmotic disruption. Researchers compare two groups: one begins early weight-bearing two weeks post-surgery, while the other starts late weight-bearing at six weeks. The goal is to determine if earlier weight-bearing affects recovery, pain, and return to daily activities. Ideal participants are adults with an ankle fracture requiring a suture button fix, who were able to walk before the injury. As an unphased trial, this study allows participants to contribute to valuable research that could enhance recovery strategies for future patients.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research shows that starting to put weight on the ankle soon after surgery is safe. Studies have found that patients who begin walking on their ankle just two weeks post-surgery do not experience more problems than those who wait longer. In fact, one study found that starting early can lead to better movement and recovery without additional risks.

For patients with ankle fractures requiring extra support, such as a special button to hold things in place, early weight-bearing is also safe. This approach has not been associated with major problems.

Waiting longer before putting weight on the ankle does not appear to enhance safety. Studies have shown that waiting does not reduce complications more than starting early.

Researchers are excited about this trial because it explores the timing of weight-bearing after ankle surgery, a crucial factor in recovery. Typically, the standard care involves waiting several weeks before putting weight on an injured ankle. This trial investigates whether starting weight-bearing earlier—just two weeks after surgery—could lead to faster recovery without compromising healing. By comparing early and delayed weight-bearing, researchers aim to determine the safest and most effective way to speed up recovery and improve outcomes for patients with ankle injuries.

This trial will compare early weight-bearing with delayed weight-bearing for ankle injuries. Research has shown that starting to put weight on the ankle soon after surgery can speed up recovery and improve comfort. Participants in the early weight-bearing group will begin walking on their ankle just 2 weeks after surgery. Studies have found that this often leads to returning to work and experiencing less pain sooner than those who wait longer. One study found that early weight-bearing is safe and effective, especially when using a special technique for certain ankle injuries. Another study found that starting to walk on the ankle early does not cause more problems than waiting. Overall, early weight-bearing seems to offer benefits without additional risks.¹²³⁶⁷