Abstract

Rehabilitation regimes following arthroscopic ankle arthrodesis vary widely. This study was conducted to determine whether it is safe to allow early weight bearing following arthrodesis by analysing results before and after changes in the practice of one surgeon. Two groups of comparable patient populations were compared; Group 1 (15 patients) in whom weight bearing was restricted; Group 2 (21 patients) who were encouraged to weight bear in the early postoperative period. All patients had an arthroscopic arthrodesis secured with two medial compression screws. The extent and progression of union was determined at 2 and 4 months. There was 100% union in both groups by 4 months with no difference in extent of union at 2 months. The most common complication (15%) was the requirement for later screw removal. The results suggest that it is safe to mobilise patients fully weight bearing in the early postoperative period following arthroscopic ankle arthrodesis.

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