ORIF Ankle Fracture Rehabilitation Protocol
PHASE I: 0-2 weeks:
Weight Bearing
- NWB on the operative extremity
Splint/Brace
- On at all times
ROM
- ROM at the knee and hip as tolerated
- Focus on elevation of extremity when able
PHASE II: 2-6 weeks
WEIGHT BEARING
- NWB on the operative extremity
SPLINT/BRACE
- Transition from post-op splint into a CAM walker boot
- On at all times except for hygiene and exercises
ROM
- Begin active and passive ankle ROM for dorsiflexion and plantar flexion
- Air alphabet
- Continue knee and hip ROM
PHASE III: Post-op week 6+
WEIGHT BEARING
- Progress to WBAT on the operative extremity
SPLINT/BRACE
- Wean out of CAM walker boot over 2-4 weeks
ROM
- Full AROM and PROM
- Proprioception
- Gait/balance training
- May begin strengthening as tolerated