Rehabilitation Followings Surgical Fixation of Bimalleolar Fractures

Mabrouk S. Bohalfaya; Idris M. Tajoury; Hosam A. Ibraheem

doi:10.54172/mjsc.1253

Authors

Mabrouk S. Bohalfaya Department of Orthopedics, Faculty of Medicine, Benghazi University, Libya.
Idris M. Tajoury Department of Orthopedics, Faculty of Medicine, Benghazi University, Libya
Hosam A. Ibraheem Department of Orthopedics, Faculty of Medicine, Benghazi University, Libya.

DOI:

https://doi.org/10.54172/mjsc.1253

Keywords:

Olerud Molander Ankle score, Non-weight bear-ing, Rehabilitation, Ankle fractures

Abstract

Fractures of the ankle are the commonest type of lower limb fractures and one of the most not unusual type of fractures all over the world. Purpose was to ascertain how powerful and safe are interventions that are used for rehabilitation following surgical treatment of bimalleolar fractures. This was a prospective study conducted on 60 individuals who were subjected to surgical fixation of bimalleolar fractures within the period of 2015 to 2017 at Aljalaa trauma hospital in Benghazi - Libya. The patients were randomly divided according to the sort of rehabilitation protocol into; Group A: who commenced early weight bearing (EWB) by below knee orthosis, and Group B: who began non-weight bearing (NWB) exercises by means of axillary crutches. Olerud Molander Ankle score (OMAS) was used to assess clinical results. Group A had higher OMAS rating than group B but out a significant statistical difference, and there was no significant difference regarding SF-36 scores. No significant difference between early weight bearing rehabilitation and non-weight bearing one as regard functional outcomes. Considering patient's comfort, early functional improvement, and the low complication rate, early postoperative weight bearing and range of motion (ROM) exercises are recommended in subjects with surgically treated ankle fractures.

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