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Ankle fracture recovery protocol
General principles
- The patient will move in crutches, without stepping on the operated limb, for 4-6 weeks postoperatively
- The patient will have his foot immobilized in a leg-foot splint for 6 weeks, maybe even longer, depending on the radiological evolution.
- Avoid unnecessary walking or prolonged standing for the first 2-3 weeks to control local edema and pain.
- Apply ice for 15 minutes 3-5 times a day to monitor pain and inflammation
- Raise the foot above the heart level as much as possible to prevent local edema and inflammation.
- No ankle mobilization exercises for 4 weeks postoperatively - isometric ankle exercises, inside the splint, should be performed daily
- No impact exercises in the first 3 months post-surgery.
Rehabilitation protocol
Phase I: Weeks 1 - 4- Isometric ankle exercises, under immobilization, immediately postoperatively. Perform 5 contractions of 5 seconds, 5 times a day.
- No ankle mobilization exercises in the first 4 weeks.
- Walking with crutches to minimize compensation
- Active finger movements
- Lifting movements of the lower limb with the knee extended
- Quadriceps / gluteal muscles exercises
- Cycling (using only your healthy foot)
![](https://centrokinetic.ro/i.php?p=Poze%20glezna/_MG_8255.jpg)
Phase II: Weeks 4 - 6
- Radiological control at 4 weeks to monitor healing
- Depending on the radiological control, partially progressive loading is allowed, with the help of crutches, and the foot still immobilized in a foot-leg splint
- Start easy ankle mobilization exercises and isotonic ankle exercises without/with partial load
- Soft tissue treatments to control local swelling, mobility, and healing
- Radiological control at 6 weeks
- Depending on the radiological control, you can progress the degree of loading, giving up a crutch
- You can give up immobilization by switching to an ankle orthosis instead
- Walking exercises to normalize the movement pattern
- Seek to achieve a full range of motion
- Start strengthening exercises and balance exercises
![](https://centrokinetic.ro/i.php?p=Poze%20glezna/_MG_7925.jpg)
Phase IV: Weeks 8 - 12
- Progress the exercises and functional activities, with the full load of the operated limb. Avoid impact activities until week 12.
- The patient can give up the ankle orthosis if he has dynamic control and satisfactory stability of the ankle.
- The goal is the full range of motion at 12 weeks postoperatively
- Start the exercises specific to the sport you practice
- Increase the intensity of strengthening, balance, coordination exercises for the gradual return to sports activities
- After a careful evaluation by the physical therapist, you can return to the sport you practice
![](https://centrokinetic.ro/i.php?p=poze/Recuperare-CTK-8.jpg)
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