Non weight bearing should be maintained for 4-6 weeks, depending on the fracture pattern. Thereafter, weight bearing can be started, reaching full weight bearing by 8-9 weeks.
In fractures that required reduction, the plaster cast should not be removed before 9-12 weeks, or before the patient manages to walk pain-free with the cast. In fractures that did not require reduction, the period in the cast can be reduced at the discretion of the surgical decision-maker.
After removal of the cast, rehabilitation should involve dedicated joint mobilization for a prolonged period. At this stage, it is also advisable to give a non-steroidal anti-inflammatory preparation for several weeks.