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People recover faster after surgery for ankle fracture if they are given a cast or splint that can be removed to let them exercise the ankle, than if their foot is placed in an immobilising plaster cast. If the fracture is stable, then encouraging them to walk soon after surgery is also beneficial. However, increased activity does increase the chance of experiencing problems with the surgical wound. These conclusions are published in a systematic review included in the latest update of The Cochrane Library (see also Wiley-Blackwell).
Ankle fracture is one of the most common fractures of the lower limb, especially in young men and older women. In about half of the cases, the broken bone requires surgery to realign the bones, and then the lower leg and foot are placed in a cast to immobilise and protect the area.
The problem with immobilisation is that it can lead to pain, stiffness, weakness and swelling in the ankle. A team of Cochrane Researchers therefore looked to see whether there was evidence that using removable casts ...
Source: HighBeam Research, After ankle surgery: Mobilize with care.