Ankle Fracture Post Op Protocol

[@Sisu2280]

Can you explain why for post ORIF surgery the current medical studies suggest that there are more benefits to immediate weight bearing (as tolerated) vs the almost world wide prescribed 6+ weeks non weight bearing (I do note that your protocol is a little more aggressive at 50% at week 4). Is the research just simply that far ahead of practice? Seems disadvantageous to those non weight bearing for such periods that their surgeons aren't current with the published peer reviewed literature.

[@jordanb722]

It seems to just be doctors having trained that way and not updating protocols as time passes/new evidence appears. It is weird taht no one seems to do a true biomechanical analysis to figure out if things are expected to move or not, but I guess the evidence shows that modern fixation techniques are enough to hold fixation with WB in the general case. I will note that I've seen some doctors, particularly in the UK and Ireland seem to be keener on these newer protocols, but probably there's not a huge amount of pressure on them to update protocols - not like they get repeat customers for a broken ankle offering feedback XD.

[@1966lavc]

hello Doctor, when I turn my left ankle inside , I hear the click , I can walk but in some positions I feel pain for short time , but it goes away after short time, do I need surgery ? MRI helps?

[@BujjiNaidu-to3ry]

Helo mam my age 36 orif fibula 2 months completed how many monthes full recovery time