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

What this Trial Is About

This research aims to compare standard post-operative rehabilitation with a simplified wooden block stretching protocol for patients who have ankle or pilon fractures. These fractures are common orthopedic injuries treated by surgery or sometimes by closed reduction and immobilization. The study focuses on reducing stiffness and improving ankle dorsiflexion, which is often limited after cast or splint removal and affects daily activities like walking and stair climbing. Participants will be randomly assigned to one of two groups. One group will follow a simplified rehabilitation program using a wooden block for ankle dorsiflexion exercises at home, with guidance on frequency and technique. The other group will receive standard care through formal physical therapy sessions or a home exercise program based on American Academy of Orthopaedic Surgeons standards. The rehabilitation starts after rigid splint removal, with gradual weight bearing adjusted over the following weeks. During the study, participants will attend three post-operative visits where ankle range of motion will be measured at 2 weeks, 6 weeks, and 6 months after surgery. Researchers will also assess pain, exercise compliance, and lower extremity function through surveys and self-reports. The study aims to evaluate whether the simplified wooden block protocol can improve compliance and functional outcomes compared to usual care, with the total participation lasting six months after surgery.

Simplified Post Op Rehabilitation for Ankle and Pilon Fractures