RecruitingNot ApplicableNCT05280639

Simplified Post Op Rehabilitation for Ankle and Pilon Fractures

Ankle and Pilon Fracture Post Operative Rehabilitation: A Randomized Control Trial Exploring a Simplified Wooden Block Protocol

Sponsor

University of Virginia

Enrollment

30 participants

Start Date

Oct 3, 2022

Study Type

INTERVENTIONAL

Conditions

Ankle Fractures Pilon Fracture

Summary

The aim of this study is to compare standard post operative rehabilitation with a simplified wooden block stretching protocol that will yield similar results.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria2

Ages 18-65
Surgically treated open or closed fractures of the ankle or tibial plafond

Exclusion Criteria12

Contralateral lower extremity injuries that would limit weight bearing after 6 weeks
Severe injury requiring flap coverage or vascular reconstruction (Gustilo-Anderson Type IIIB and C respectively)
Neurological deficits that would impede ability to stand safely unassisted for home exercise regiment
Desire to participate in formal physical therapy program
Additional injury that would compromise subjects ability to follow either Home Exercise Program
Non ambulatory prior to injury
Previous ankle or tibial plafond injury on ipsilateral extremity
BMI \> 50
Severe problems maintaining follow up
Previous ankle/tibial plafond fracture
Prisoners
Neurological impairments that impair balance

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Interventions

DEVICEWooden block

Individuals randomized to this group will be given a wooden block at no cost to them and a simplified version of home, self-guided exercises with instructions on how to do the exercises and how often to do so.

OTHERFormal physical therapy or Home Exercise Program

Individuals randomized to this group will receive the standard formal physical therapy which are sessions run by a physical therapist, usually 2-3 times a week to rehabilitate their ankle OR follow a standardized home exercise program which will be done by yourself with exercise outlined with how they should be performed and how often