Accelerated Rehabilitation Protocol after Broström Repair with Internal Brace Augmentation
0~2 days | Control pain with PCA Rest and elevation using short leg splint Recommend PWB with crutches |
3~14 days | Start wearing ankle stirrup brace Recommend WBAT with or without crutches Active ankle ROM exercise without restriction of PF & DF Discard crutches within 2 week Skin sutures removed at 2 week |
2~6 weeks | Wear ankle brace during daytime Recommend FWB Resistive ankle ROM exercise using a rubber band Peroneal strengthening exercise |
6~12 weeks | Discard ankle brace One leg stance & heel raise exercise Long distance walking, biking & swimming exercise |
After 12 weeks | Full exercise including contact sports |
PCA: patient controlled anesthesia, PWB: partial weight bearing, WBAT: weight bearing as tolerated, ROM: range of motion, PF: plantar flexion, DF: dorsiflexion, FWB: full weight bearing.