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Acta Orthopaedica Scandinavica Volume 58, 1987 - Issue 5
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Original Article

Early weight bearing of displaced ankle fractures

Torbjörn Ahl Department of Orthopedics, Karolinska Institute, Danderyd Hospital, S-182 88, Danderyd
,
Nils Dalén Department of Orthopedics, Karolinska Institute, Danderyd Hospital, S-182 88, Danderyd
,
Sven Holmberg Department of Orthopedics, Karolinska Institute, Danderyd Hospital, S-182 88, Danderyd
&
Göran Selvik Department of Anatomy, University of Lund, Lund, Sweden
Pages 535-538 | Published online: 08 Jul 2009
 
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Abstract

A prospective randomized study was performed comparing immediate and late weight bearing in 53 dislocated bimaileolar and trimalleolar fractures. Using cerclage, staples, and pins (Cedell 1967), an exact reconstruction of the ankle mortise was achieved in 41/53 ankles. At follow-up after 3 and 6 months, the two groups were equal regarding clinical results. Evaluation radiographically and by roentgen stereophotogrammetric analysis (Selvik 1974) indicated that the stability of the ankle mortise was sufficient to allow early postoperative weight bearing.

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