Advertisement

Topics

Rest Easy: Is Bed Rest Really Necessary After Surgical Repair of an Ankle Fracture?

2014-07-24 14:17:29 | BioPortfolio

Summary

After a patient has fractured an ankle that then requires surgery, the recommendation is to remain in bed, with the operated leg elevated on pillows for 48 hours. This is a precautionary measure, as yet unsubstantiated by research, which is thought to minimize ankle swelling that can inhibit the healing of the surgical wound. However, prolonged bed rest can lead to other complications such as blood clots in the lungs or leg veins, or chest infections such as pneumonia. Prolonged bed rest is also known to cause weakness and a loss of fitness such that recovery may be slower. In this research the investigators will be randomly allocating patients to mobilize within 24 hours post operatively or to rest in bed for 48 hours with their leg well elevated. The investigators will measure length of stay and wound healing and integrity at 14 days. This study aims to investigate whether getting patients out of bed within 24 hours of surgery can accelerate recovery and reduce acute hospital length of stay without affecting wound healing. If bed rest for 2 days is not necessary, there will be benefits for the patient in terms of general health and ability, and for the hospital in terms of cost savings through shorter lengths of stay and patient through put. The investigators already know that early mobilization is beneficial following other types of orthopedic surgery such as hip fractures. This study aims to investigate if early mobilization following surgical management of ankle fractures is safe with specific regard to wound integrity and wound outcomes. This study will also investigate the effect of earlier mobilization on the length of time spent in the acute hospital and for those discharged directly home, the amount and type of support required. If early mobilization is found to be safe for wound healing and results in shorter in-hospital stays, this research will provide the confidence to endorse a change to current clinical practice.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Treatment

Conditions

Ankle Injuries

Intervention

Early mobilization, Standard mobilization

Location

The Alfred
Melbourne
Victoria
Australia
3204

Status

Completed

Source

The Alfred

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-07-24T14:17:29-0400

Clinical Trials [1222 Associated Clinical Trials listed on BioPortfolio]

Ankle Instability Treatment in Patients With Chronic Ankle Instability

Ankle joint self mobilization.

Comparison of Two Manual Therapy Techniques on Ankle Dorsiflexion

Ankle rigidity is a common musculoskeletal disorder affecting the talocrural joint, which can impair weight-bearing ankle dorsiflexion (WBADF). The objective was to compare the efficacy of...

Comparison Between Two Mobilization Techniques of Ankle on Balance in Patients With Chronic Ankle Instability

The ankle joint is often affected by injuries, especially lateral sprains, often leading to chronic instability. Joint mobilization techniques seem to influence the sense of joint position...

Effects of Feet and Ankle Mobilization on Balance of Older Adults: a Preliminary Randomized Clinical Trial

This study aims to assess whether mobilization of the ankle and foot produces significant improvements in the balance of the elderly. To this end, a randomized study was designed with a c...

A Comparison of Early Mobilization Versus Traditional Treatment for Acute Ankle Sprains.

Acute ankle sprain is one of the most common musculoskeletal injuries, accounting for an estimated 2 million injuries per year and 20% of all sports injuries in the United States (Ivins, D...

PubMed Articles [12634 Associated PubMed Articles listed on BioPortfolio]

Differences in Ankle ROM Between Young Men and Women With a History of Ankle Sprain.

 Ankle injuries are the most common injuries in sports. However, very little is known about sex differences in ankle range of motion (ROM) between ankle joints with an episode of ankle sprain (ASE) ...

Nail Plate Combination (NPC) Technique for Native and Periprosthetic Distal Femur Fractures: A Technical Trick.

In the elderly, low energy distal femur fractures (native or periprosthetic) can be devastating injuries, carrying high rates of morbidity and mortality, comparable to the hip fracture population. Poo...

A Prospective, Randomized Trial of Mobilization Protocols Following Ligament Reconstruction and Tendon Interposition.

The purpose of this study was to evaluate the hypothesis that an increased duration of immobilization following trapeziectomy with ligament reconstruction and tendon interposition (LRTI) leads to impr...

Photoreductive dissolution of schwertmannite induced by oxalate and the mobilization of adsorbed As(V).

Schwertmannite (Sch), a poorly crystalline iron mineral, shows high sorption capacity to As(V). In this study, the effects of UV irradiation and oxalate on the dissolution of pure Sch, Sch with adsorb...

Nurse-Initiated Mobilization Practices in 2 Community Intensive Care Units: A Pilot Study.

Critical-care nurses play a vital role in promoting safe early mobilization in intensive care unit (ICU) settings to reduce the risks associated with immobility in ICUs, including the risk of delirium...

Medical and Biotech [MESH] Definitions

The release of stem cells from the bone marrow into the peripheral blood circulation for the purpose of leukapheresis, prior to stem cell transplantation. Hematopoietic growth factors or chemotherapeutic agents often are used to stimulate the mobilization.

LIPOLYSIS of stored LIPIDS in the ADIPOSE TISSUE to release FREE FATTY ACIDS. Mobilization of stored lipids is under the regulation of lipolytic signals (CATECHOLAMINES) or anti-lipolytic signals (INSULIN) via their actions on the hormone-sensitive LIPASE. This concept does not include lipid transport.

Harm or hurt to the ankle or ankle joint usually inflicted by an external source.

Mobilization of human, financial, capital, physical and or natural resources to generate goods and services.

The mobilization of EMERGENCY CARE to the locations and people that need them.

More From BioPortfolio on "Rest Easy: Is Bed Rest Really Necessary After Surgical Repair of an Ankle Fracture?"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Surgical treatments
Surgery is a technology consisting of a physical intervention on tissues. All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...

Wound management
Anything that breaks the skin is a wound because when the skin is broken, there's a risk of germs getting into the body and causing an infection. Follow and track Wound Care News on BioPortfolio: Wound Car...


Searches Linking to this Trial