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Article History

Received: 22 April 2025

Accepted: 4 September 2025

First Online: 7 October 2025

Competing interests

: The authors declare no competing interests.

: K.T., L.H. and JJ.L.: Conceptualization, data analysis, validation, writing. XP.L. and Y.C.: data analysis, writing. DH.L. and DC.C.: writing and editing the manuscript. K.T. and JJ.L.: investigation, review and editing. All authors read and approved the final manuscript.

: This study was approved by the Ethics Committee of Longyan First Hospital Affiliated to Fujian Medical University.

: EWB Group, Early Weight-bearing Groups; LWB Group, Late Weight-bearing Groups; BMI, body mass index.

: EWB Group, Early Weight-bearing Groups; LWB Group, Late Weight-bearing Groups; OMAS, Olerud-Molander Ankle Score; CI, confidence interval.

: aRange 0 to 100, with higher scores indicating better function. The anchor-based MCID is 4.4 points at 6 to 12 weeks, 15.0 points at 3 to 6 months and 9.5 points at 6 to 12 months.

: EWB Group, Early Weight-bearing Groups; LWB Group, Late Weight-bearing Groups; VAS, Visual Analog Scale Pain Score; CI, confidence interval.

: EWB Group, Early Weight-bearing Groups; LWB Group, Late Weight-bearing Groups; ROM, Range of Motion; CI, confidence interval.

: EWB Group, Early Weight-bearing Groups; LWB Group, Late Weight-bearing Groups; CI, confidence interval.