Document Type

Article

Publication Title

Cureus

Abstract

Early weight-bearing (EWB) and late weight-bearing (LWB) protocols are the two primary regimens implemented for patients following ankle fracture surgery, yet their outcomes remain variable. This review aimed to assess these protocols, including their limitations and implications, to support more tailored postoperative management and ultimately improve patient recovery. EWB demonstrated superior short-term outcomes compared to LWB, including higher functional assessment scores, improved range of motion, and earlier return to work times. However, patients in this group revealed lower protocol adherence and higher wound-related issues in select patients, including complication and reoperation rates. As a result, LWB is more often favored by surgeons for elderly, diabetic, or morbidly obese patients despite lower early functional outcome scores. Overall, the literature remains inconclusive, highlighting the need for personalized rehabilitation plans and further research to refine risk stratification and optimize recovery across diverse patient populations.

DOI

10.7759/cureus.97417

Publication Date

11-21-2025

Keywords

ankle fracture, complications, early weight bearing, functional outcomes, late weight bearing, open reduction and internal fixation, orthopedic surgery

ISSN

2168-8184

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