Thereafter, the cast may be changed to a below-knee cast for the remaining period of casting, as determined by the surgical decision-maker. Knee mobilization can now be started.
Non weight bearing should be maintained for 4-6 weeks. Thereafter, graduated weight bearing can be started, reaching full weight bearing by 8-10 weeks.
The plaster cast should not be removed before 10-12 weeks, or before the patient manages to walk pain-free with the cast.
After removal of the cast, rehabilitation should involve dedicated ankle and foot mobilization for a prolonged period. At this stage, it is also advisable to give a non-steroidal anti-inflammatory preparation for several weeks.