Immediate Protected Weight Bearing Versus Conventional Non-Weight Bearing After Surgical Fixation of Unstable Ankle Fractures

Immediate Protected Weight Bearing Versus Conventional Non-Weight Bearing After Surgical Fixation of Unstable Ankle Fractures: A Prospective Randomized Controlled Trial

This prospective randomized controlled trial evaluates the safety and effectiveness of immediate protected weight bearing following surgical fixation of unstable ankle fractures. Participants are randomized to immediate protected weight bearing from the first postoperative day using a Walker boot and crutches or conventional non-weight bearing for six weeks. Functional outcome (OMAS), pain (VAS), ankle range of motion, quality of life (SF-12), and postoperative complications are assessed over 12 months.

Inclusion Criteria:

• Unstable ankle fracture requiring ORIF.
• Written informed consent.

Exclusion Criteria:

• Psychiatric disorder.
• Pre-existing mobility limitation.
• Cognitive impairment.
• BMI >30 kg/m².
• Poorly controlled type 2 diabetes.
• Soft tissue injury requiring external fixation.
• Gustilo II/III open fractures.
• Unstable fixation.
• Refusal/inability to consent or allow anonymized data use.
• Any condition compromising safety or validity.