The orthotic treatment of stable ankle fractures

Fifteen limbs with stable lateral malleolar fractures treated with an adjustable, functional orthosis were compared to 12 limbs managed with short leg walking casts. The limbs managed with the adjustable orthosis were clinically healed at an average of 3.3 weeks with no fracture tenderness and with the ability to bear full weight without pain. Range of motion in the orthotic group at the end of treatment was significantly better than the casted group. Patient compliance was excellent. The advantages of the orthotic treatment include a more physiologic gait pattern due to the rocker bottom sole, ease of application, lighter weight, removability for range of motion exercises and bathing, and adjustability to maintain a good fit as posttraumatic swelling resolves.