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Immediate Vs. Delayed Weight Bearing Postoperative Protocol in Diabetic Ankle Fractures
Sponsor: Kyle Schweser MD
Summary
Operatively managed diabetic ankle fractures have significant risk for complications. The cause for failure is likely multifactorial, however, a component of failure has to do with an inability to process pain and pressure normally. This loss of protective sensation allows for an increase in abnormal stresses placed on the recently repaired fractures. Historically, diabetics have been kept non weight bearing for extended periods of time, which has its own functional and cardiovascular issues. The purpose of the study is to determine if a protocol of immediate weight bearing with a hindfoot offloading brace after surgically corrected ankle fracture in a diabetic patient will maintain adequate motion, have no difference in complications when compared to regular non-immediate weight bearing protocols, and lead to good outcome scores and patient satisfaction scores
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
25
Start Date
2020-08-01
Completion Date
2026-06-15
Last Updated
2025-08-24
Healthy Volunteers
No
Conditions
Interventions
Postoperative protocol (Immediate weight bearing)
After ORIF of the ankle fracture, the patient will be randomized to follow an immediate weight bearing rehabilitation protocol using an offloading hindfoot brace
Postoperative Protocol (Delayed Weight Bearing)
After ORIF of the ankle fracture, the patient will be randomized to follow a standard delayed weight-bearing rehabilitation protocol
Locations (1)
University of Missouri Health System
Columbia, Missouri, United States