From the Guidelines
The typical duration of sick leave for a patient with a complex ankle fracture is around 6-12 weeks, with a possible return to office work in 4-6 weeks, as guided by the treating orthopedic surgeon and based on individual healing progress. The healing timeline can vary significantly depending on factors such as fracture severity, surgical intervention, age, overall health, and compliance with treatment 1. Initially, most patients require 1-2 weeks of complete rest with elevation and non-weight bearing status. Office work can often be resumed earlier than physical jobs, especially if accommodations like elevating the leg, limited walking, and flexible scheduling are available.
Some key considerations for return to work include:
- The degree of inversion injury and restrictions, with mostly sitting work recommended for the first 2 weeks and phased rehabilitation focusing on work/sport-specific tasks 1
- Recognition of the emotional aspect of the situation and involvement of an occupational physician and therapist 1
- Limiting standing and walking on uneven surfaces, especially in cases of partial or total rupture of ligaments 1
- Scheduled progression of work activities and weight bearing as tolerated, with sedentary work resumed in case of weight bearing 1
During recovery, proper immobilization (cast or boot), regular follow-up with orthopedic specialists, pain management (typically with NSAIDs like ibuprofen or naproxen), and gradual physical therapy are essential 1. Patients should watch for complications like excessive pain, swelling, numbness, or signs of infection. The return to work should be guided by the treating orthopedic surgeon who can provide personalized recommendations based on healing progress shown in follow-up X-rays and clinical examinations.
From the Research
Typical Duration of Sick Leave for a Patient with a Complex Ankle Fracture
- The typical duration of sick leave for a patient with a complex ankle fracture can vary depending on the severity of the injury and the individual's occupation 2.
- A study found that patients with complex ankle fractures who underwent early weightbearing were able to return to work at an average of 8 +/- 5 weeks after surgery 2.
- Another study found that 97% of patients who were working had returned to work by 1 year postoperation 3.
Return to Office Work
- Patients with complex ankle fractures can typically return to office work within a few weeks to a few months after surgery, depending on the severity of the injury and the individual's progress in rehabilitation 2, 3.
- A study found that patients who underwent early weightbearing were able to return to work, including office work, at an average of 8 +/- 5 weeks after surgery 2.
- It is essential to note that return to work should be guided by the individual's progress in rehabilitation and the advice of their healthcare provider 4, 5.
Factors Affecting Return to Work
- The severity of the injury, the accuracy of the reduction, and the institution of soft-tissue rehabilitation can affect the outcome and return to work for patients with complex ankle fractures 4.
- Patient and clinical factors, such as functional dorsiflexion and patient-reported functional outcomes, can also impact return to prefracture activity levels and work 3.
- Early weightbearing and rehabilitation can help improve outcomes and reduce time away from work 2, 5.