- Podcast
- 27/01/2026
- UK
The Ankle Recovery Trial (ART): Clinical Outcomes And Patient Experience Of A Pragmatic Multicentre RCT Comparing Cast With Removable Boot For Early Mobilization After Ankle Fracture Surgical Fixation
Description
The latest episode of AI Talks with Bone & Joint focuses on a pivotal study titled "The Ankle Recovery Trial (ART)," published in November 2025 by R Martin and colleagues. The discussion, hosted by Simon and Amy, dives deep into the implications of this multicentre randomized controlled trial that compares two methods of post-surgery care for ankle fractures: traditional cast immobilization versus early mobilization using a removable boot. Spanning eight NHS hospitals in the UK, the trial involved 243 adults, analyzing functional outcomes and patient experiences at seven weeks post-surgery using the Olerud and Molander Ankle Symptom Score (OMAS).
Significantly, while initial results showed a slight preference for the boot in mobility outcomes, the difference was below the minimal clinically important difference, indicating comparable effectiveness between the two methods. Boot participants reportedly enjoyed enhanced mobility and a more favorable recovery experience, particularly in subgroups such as older adults and those with comminuted fractures. However, the removable boot group experienced a higher rate of minor complications, warranting careful monitoring and patient education. Overall, the findings suggest that personal preference should guide treatment choices post-ankle fracture, emphasizing patient comfort and autonomy while being mindful of potential risks.
Part of: Surgical Techniques and Training Collection
"The Ankle Recovery Trial (ART): Clinical Outcomes And Patient Experience Of A Pragmatic Multicentre RCT Comparing Cast With Removable Boot For Early Mobilization After Ankle Fracture Surgical Fixation" is included in the following Surgical Techniques and Training playlist: