OTA 2019: Early directed physiotherapy significantly better than usual care post ankle ORIF

Study Type:Therapy

OE Level Evidence:N/A

Journal Level of Evidence:N/A

Early Motion and Directed Exercise (EMADE) versus Usual Care, Post Ankle Fracture Fixation: A Pragmatic Randomized Controlled Trial

Contributing Authors: P Matthews Jessica Nightingale T Coughlin BE Scammell BJ Ollivere

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Synopsis

Recovery from ankle fracture surgery can be difficult, with 20% of patients having ongoing restrictions 6 months after the injury. In this study, the authors randomized 157 patients with fixed Weber B ankle fractures. Patients were randomized to an early motion and directed exercise (EMADE) physiotherapy program versus usual care in a plaster cast. Outcomes were measured at 12 weeks, and were as f...