Early mobilization after uncomplicated XXXX provides successful functional results.

@entity1 @entity625 @entity3029 @entity158 @entity2530
BACKGROUND: @entity3029 is a rare injury, with the medial type occurring in the majority of cases. The period of postreduction immobilization is a matter of controversy. Most studies set the period of immobilization between 4 and 8 weeks. The hypothesis in this study is that a period of 2-3 weeks of immobilization in a cast, followed by early mobilization, could provide better functional results than longer periods of immobilization. MATERIALS AND METHODS: During a period of 4 years, eight @entity1 (six @entity1 , two @entity1 ) with mean age of 37.2 years and uncomplicated @entity3029 were treated in our institution. Immediate reduction under sedation and cast immobilization was provided in all cases. Our rehabilitation protocol consisted of two completed weeks of immobilization and thereafter ankle range-of-motion exercises and partial weight-bearing mobilization. @entity1 were followed up for a mean period of 3 years. Clinical results were evaluated using the AOFAS Ankle-Hindfoot scale. RESULTS: All @entity1 achieved almost normal ankle range of motion and good clinical outcome (mean AOFAS score 92.25). No radiographic evidence of @entity625 or @entity2530 of the talus was detected. Two @entity1 complained of mild @entity158 of the hindfoot. All @entity1 returned to daily routine activities in about 2 months from injury. CONCLUSIONS: Immediate reduction and early mobilization could be key factors for uneventful recovery of uncomplicated @entity3029 . Multicenter clinical trials are needed for further validation of our initial results. LEVEL OF EVIDENCE: III, prospective clinical series study.
