Abstract

YANEZ ARAUZ, Juan Manuel; ARZAC ULLA, Ignacio R; FIORENTINI, Gustavo  and  YANEZ ARAUZ, Juan Martín. Osteosíntesis de fractura de tobillo. Análisis evolutivo con carga precoz: Estudio preliminar. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.2, pp.93-98. ISSN 1852-7434.

Introduction: Reduction and fixation of ankle fractures allow early recovery. However, typically the weight load is not allowed for about 6 weeks. The aim of this study is to analyze if immediate weight bearing in patients with fibula fractures produces complications and/or secondary displacement. Methods: Twenty-one patients with AO type 44B1 operated fractures were analyzed, and immediate loading was indicated. Clinical and radiographic outcomes were evaluated. Follow-up was >3 months. Results: Weight load with a walker boot protection occurred, on average, at day 2. The AOFAS ankle score averaged 99 points three months after surgery. Patients returned to work at 2.1 months and to the previous sporting activity at 2.95 months, on average. Conclusions: Patients with low-energy AO type 44B1 fractures, treated by reduction and osteosynthesis, can support early weight load without risk of secondary movements. Early loading with early mobilization has a very good clinical outcome, and it does not induce a higher rate of complications.

Keywords : Ankle fracture; Load weight.

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