In primary care, follow-up and rehabilitation after an ankle fracture should include advising immediate unrestricted weight-bearing as tolerated for non-surgical unimalleolar ankle fractures. Orthopaedic follow-up should be arranged within 2 weeks if there is uncertainty about fracture stability. Patients should be advised to return for review if symptoms are not improving 6 weeks after injury. Providing both verbal and written information to patients about expected outcomes, activities to aid recovery, home care options, rehabilitation plans including contact details, and mobilisation and weight-bearing guidance is essential. Active patient participation in rehabilitation should be encouraged to achieve optimal recovery. Documentation of all key communications and ensuring consistent information sharing among healthcare providers is recommended to support ongoing care.
What are the guidelines for follow-up and rehabilitation after an ankle fracture in primary care?
Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.
Posted: 22 August 2025Updated: 22 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX