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CTRI Number  CTRI/2026/02/104220 [Registered on: 18/02/2026] Trial Registered Prospectively
Last Modified On: 18/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Early versus Delayed range of motion and Weight Bearing after Ankle Fracture Surgery: A Randomized Controlled Trial 
Scientific Title of Study   Early versus Delayed Mobilization and Weight Bearing after Ankle Fracture Surgery : A Comparative Outcome Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  CV Manishchand 
Designation  Post Graduate, Department of Orthopaedics 
Affiliation  Ganga Medical Centre and Hospitals 
Address  Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Coimbatore
TAMIL NADU
641043
India 
Phone  7598116799  
Fax    
Email  unni.nag@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Velmurugesan P 
Designation  Associate consultant, Department of Orthopaedics 
Affiliation  Ganga Medical Centre and Hospitals,Department of Orthopaedics 
Address  Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Coimbatore
TAMIL NADU
641043
India 
Phone  9791197520  
Fax    
Email  drvelmurugesan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  CV Manishchand 
Designation  Post Graduate, Department of Orthopaedics 
Affiliation  Ganga Medical Centre and Hospitals,Department of Orthopaedics 
Address  Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Department of Orthopaedic Trauma, A block, Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore - 641 043 , India
Coimbatore
TAMIL NADU
641043
India 
Phone  7598116799  
Fax    
Email  unni.nag@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Ganga Medical Centre & Hospitals Pvt Ltd 
Address  Ganga Medical Centre & Hospitals Pvt Ltd, 313,314 1, Mettupalayam Road, Saibaba Kovil, Coimbatore 641 043 , India 
Type of Sponsor  Private hospital/clinic 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr C V Manish Chand  Ganga Medical Centre & Hospitals  Ganga Medical Centre & Hospitals Pvt Ltd,313,314-1, Mettupalayam Road,Saibaba Kovil,Coimbatore - 641 043 , India
Coimbatore
TAMIL NADU 
7598116799

unni.nag@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional review board of Ganga Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S828||Other fractures of lower leg,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Delayed weight bearing and mobilization after ankle fracture fixation  In delayed weight bearing group, ankle mobilization and weight bearing started from week 6 post operative 
Intervention  Early weight bearing and mobilization after ankle fracture fixation  In early weight bearing group, ankle mobilization started from day 2 post operative and weight bearing from 2 weeks post operative 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  18 to 60 years of age
Closed isolated, bimalleolar, tri-malleolar ankle fracture treated with ORIF 
 
ExclusionCriteria 
Details  Age less than 18 years and greater than 60 years
Poor skin condition
Open fractures
Associated syndesmotic injury and tibial plafond fractures
Uncontrolled diabetic with HbA1C greater than 8
Neuropathic joints
Immunocompromised state
Polytrauma with associated fractures at other site affecting mobilization
Delayed presentation more than 4 weeks
Fixation with compromised stability 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Immediate Weight Bearing improves outcomes in terms of early function and cost-effectiveness, with no increase in complications with decrease in patient inconvenience.  Outcomes will be assessed at 2nd day,2nd week,6th week,3rd month and 6th month post operative 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [unni.nag@gmail.com].

  6. For how long will this data be available start date provided 01-05-2028 and end date provided 01-05-2033?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study aims at proving early weight bearing post ankle fracture fixation leads to improved return of ankle range of motion, fracture union rates and  early return to work. 
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