Early versus late weight-bearing in operatively treated ankle fractures with syndesmotic injury: A systematic review

•A review solely including this specific fracture type has not been done previously.•The early and late weight-bearing groups did not differ in functional outcomes.•The clinical outcomes point in many directions, thus no clear statement can be made.•There are pros and cons for early and late weight-bearing.•The evidence is limited as our results were based on noncomparative studies.