The goals of non-surgical management of ankle fractures are: The general risks and complications of ankle fractures may include: Of course, the biggest concern during your healing is to prevent the fracture from shifting further, which would then create a higher risk for chronic ankle joint pain and degenerative arthritis. Syndesmosis Specialists at the Bone Healing Center at NYU Langone Orthopedic Hospital have extensive experience diagnosing nonhealing fractures.. A nonhealing fracture, also called a nonunion, occurs when the pieces of a broken bone do not grow back together. The surgery is performed by an orthopedic surgeon. We have assisted them throughout their ankle fracture recovery journey. He treats both adolescents and adults with a special focus on sports-related injuries, including ankle instability, cartilage lesions, and Achilles tendon injuries. Osteochondral defect (OCD): Fractures and sprains in the ankle region cause damage to cartilage and bone in the area leading to OCD. Dr. Kenny Chuu and another doctor agree. They are also common in the navicular bone, which is separate from the ankle, but lies directly beneath the talus. You may also elect to rent a knee scooter/caddy to assist you during this period of restricted mobility. They can also occur in an active person who quickly increases their activity, for example when someone who is accustomed to jogging a few miles a week begins to train for a 26-mile marathon. While some surgeons use screws that require a second surgery for removal, this newer technique utilizing a suture button requires no further procedures. Postoperative large talar tilt and advanced stages of ankle arthritis are the risk factors for the surgery. Syndesmosis injuries occurring with a fracture can only be found after the bones are stabilized at the time of surgery. Stress fractures can occur in any of the three ankle bones, especially the tibia or fibula. Isolated lateral malleolar fractures can be treated with or without surgery, depending on their location and placement. Stable fractures treated without surgery can often be safe for immediate protected (in a boot) weight bearing. Doctors at NYU Langone's Bone Healing Centeroffer bone stimulation techniques and medication to speed healing and relieve pain. I would like you to first become comfortable with activities of daily living before reintroducing straight-line, low-impact activities (walking, bicycling, using an elliptical trainer, weight training). . Use the removable walking cast for all weight bearing activities as long as you doctor designates. Stable calcaneus fractures often do not require surgery and can be healed with options such as casting or appropriately supportive splints or braces in addition to adequate rest and limited to no weight-bearing. Trimalleolar Fractures. Leg Elevation and Boot Care. Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non . This decision is usually made at the time of surgery. Early and correct intervention is the key to preserving the ankle joint over the long term. How Delaying Knee Pain Treatment Can Impact Overall Health. A broken ankle is a fracture or multiple fractures of one or more of three bones in the ankle joint: the tibia (shinbone), the fibula (outer bone of the lower leg), and the talus. A damaged syndesmosis is treated with a strong piece of suture between the two bones. For more information or to schedule an appointment, contact us today. These are called stress fractures. A Fractured Ankle Recovery Guide - 2018 Update A Fractured Ankle Recovery Guide A fractured ankle is a very serious injury, one that will leave the sufferer unable to stand or walk for some weeks. They can also be injured in connection with ankle fractures. Non-Union Ankle Fracture Surgery. This post chronicles the accident and recovery steps and will be updated periodically over the next few months. These injuries are inherently unstable and require surgical fixation. As soon as pain begins to improve, these medications can be stopped. Diagnosis Your foot and ankle orthopaedic surgeon will take your medical history and perform a physical examination of your leg and ankle. Well take a look at why its important to get immediate care for a broken ankle, a common surgery that may be needed to help ankle fracture recovery, and useful advice to help avoid ankle injuries. Ankle fractures can be displaced (out of place) or non-displaced. As orthopedic specialists, we want to help you maintain your active lifestyle in the safest way possible. The length of time it takes an ankle fracture recovery depends upon several factors, including the extent of the break and whether or not it required surgery. Nonsurgical Treatment Some nonunions can be treated nonsurgically. Recovery time for a tibia fracture typically takes 4-6 months to heal completely. ), because they can interfere with bone healing. A broken ankle is also known as an ankle fracture. Ankle arthroscopy can help locate and remove the loose bodies. 5.7k views Reviewed >2 years ago. It could be helpful to use an ace wrap while sleeping and also consider using it during the day, under the removable walking cast. Recovery: Normally 2-3 months. I would like you to come out of the boot/brace to work on the following exercises, twice daily: Write the alphabet with your foot. Contact Us, Advice Nurses are available 24 hours a day, 7 days a week. X-rays are usually required to determine whether there is a broken bone as opposed to a soft-tissue injury like a sprain, since ankle sprains and breaks have similar symptoms. Pilon fractures occur when the talus (ankle bone) is driven into the leg with such force that the leg bones break at the ankle joint. In some fractures, the amount of displacement (shifting) of the fracture will determine the need for surgery. Ankle Fracture Non-operative Treatment Weight-bearing Progression Ryan W. Hess, MD PCC: Tracey Pederson Office: (763) 302-2223 Fax: (763) 302-2401 Patients with a fracture that is recommended for treatment without surgery are typically placed in a CAM boot In most cases, weight-bearing will be allowed immediately Pain Management A broken ankle can be very painful, no matter how serious the injury. The way in which the bone breaks defines . At the Emory Orthopaedics & Spine Center, our orthopedic specialists are experts at diagnosing and treating foot and ankle injuries. The most common symptoms of an ankle fracture are pain and swelling, either of which may be present only in the ankle region itself or spread to parts of the foot or up toward the knee. Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. By comparison, a delayed union fracture does eventually heal, but it takes much longer than is typical. Follow the weight bearing recommendations of the doctor. Elevation Keeping your injured ankle above your heart will help drain excess blood from the injury and reduce swelling as you recover. Doctors will often treat this type of fracture with surgery. 2409 North 45th Street, Seattle, WA 98103, 5350 Tallman Ave NW Ste 500, Seattle, WA 98107, Non-operative Treatment of an Ankle Fracture. Other times a plate is required to hold the bone and this necessitates an incision in the back of the ankle. Displaced Fractured portions of bone are separated or misaligned. The only reason to take the ankle out of the boot is for range of motion exercises and dressing changes. Non-Surgical Treatment of Fractures When possible, we prefer to treat fractures with minimally invasive, non-surgical methods. The New Albany office of Louisville Orthopedic is full of terrific people who know what excellent customer service is about! Medial Malleolus Fractures Ankle Surgery Surgery may be not be necessary for many ankle problems; therapy and medications may be enough to resolve the issue. The fibula helps stabilize and support your leg, body, ankle, and leg muscles. Hoag Orthopedic Institute focuses on tailored treatment and a comprehensive approach to patient care. But the bottom line is that the only way to tell for certain is to have an X-ray and be examined by one of our orthopedic physicians. Dr Goodin has replaced both of my knees this year with excellent results. A home physical therapy rehab program may be recommended by your surgeon, and there is typically no need for formal physical therapy appointments, The total recovery time (until swelling/tenderness/stiffness have resolved and near-full functional capacity is regained): 12 months. It seemed to be a very busy day. Dr. Gregory Harvey answered Orthopedic Surgery 39 years experience Fibula fracture: Does not sound like the fracture is healed yet. Treatment may entail surgery to remove an infection if present, to better stabilize the fracture, or to stimulate bone growth with a bone graft. I would highly recommend Dr. Yakkanti to anyone thinking about knee replacement! Assuming the bone is healed well, patients are then allowed to start weightbearing and to begin physical therapy. Any pain will usually be more intense if the injured person tries to put weight on the ankle. Closed reduction is the minimally invasive technique that can be used for stable fractures of extremities with no loss of blood flow, no risk of infection, fast functional recovery, significantly reduced medical costs, and can be used for closed reduction hollow nail and intramedullary pin fixation treatment of various unstable fractures, such as femoral neck fractures, femoral stem fractures . Non-Surgical Ankle Fracture Recovery If an X-ray, MRI scan, or other image tests performed show that the break is clean and nearby soft tissues aren't affected, you may benefit from non-surgical treatments. I would like you to discontinue use of the crutches or any other assistive walking devices as quickly as possible. advice? A cast or walking boot can help stabilize your foot while keeping the rest of your body aligned. Typically, if a removable walking cast is recommended by the doctor, weight bearing in the removable cast is allowed. On rare occasions some medial malleolar fractures still require a plate. . Other radiology imaging, such as a CT scan or MRI, may be needed to determine the full scope of the injury. Symptoms of an ankle fracture include pain especially with weight bearing, swelling, bruising, and problems with ankle motion. The most common surgery for a broken ankle is open reduction and internal fixation (ORIF), which uses metal rods, plates and screws to realign your bone or bones. You may remove the walking boot whenever seated or lying down, in a safe controlled environment. Need to aska question, email your doctor, search our Phone Directory, talk to a pharmacist or advice nurse, get the information you need. Once you have returned to regular shoes, you may gradually ramp up your activities in a step-wise manner as tolerated. If you would like more information about non-surgical treatments for a foot or ankle condition, call (855) 999-4641 or find a foot and ankle specialist using our online physician directory. Ankle fractures can be classified by the mechanism that caused that fracture, or the number of locations that have fractured, or by the location of the fracture of the fibula (the bone on the outside of the ankle) relative to the ankle joint line. Ankle fractures should always be evaluated by appropriate medical personnel to maximize healing of an ankle fracture while optimizing full recovery . Conclusions. But a bone in the ankle can also break due to repetitive stress or impact over time. Appointments 216.444.2606 Appointments & Locations Request an Appointment Procedure Details Risks / Benefits Broken ankles are painful and temporarily disabling. Same and next-day access to orthopedic care. On the other hand, the doctor may advise continuing crutches to prevent falls, for the additional benefit against further fracture displacement / shifting, and to assure that bone healing will proceed properly. After the fractures are stabilized with screws and/or plates, the syndesmosis is tested for stability. Trimalleolar ankle fractures and pilon fractures have the most cartilage injury and, therefore, have a higher risk of arthritis in the future. At the six-week visit, X-rays are obtained. That means we will only consider surgery if it is absolutely necessary. Find an Orange County Foot & Ankle Specialist Today. What causes a stress fracture in the ankle? The hardware is generally left in place even after your ankle has healed and is only removed if it causes problems. Ice pack the fracture area for 15-20 minutes, three times per day for at least 2-3 weeks. Medial malleolus bone is easily felt with hands on the inner side of the ankle. The doctor will give you your specific instructions. . While each individual case is different, in general, it can take four to eight weeks for your ankle fracture to heal. A fractured ankle can range from: A simple break in one bone, which may not stop you from walking, to. Sometimes the fractured posterior malleolus piece is too small to fix with a plate or screws, while other fractures require stabilization. Posterior Malleolus Fractures . Stable fractures treated without surgery can often be safe for immediate protected (in a boot) weight bearing. Oftentimes patients who try to work through their foot fracture will experience back or hip pain because of the added stress being placed on these areas. Your doctor will often prescribe medications for pain-relief for a short period of time after the injury or surgery. Patients are placed on a pain management protocol that minimizes their need for opioid medications. Medial malleolus is a part of ankle joint and lower end of the lower leg bone known as tibia. Foot and ankle conditions can include fractures, sprains, ligament tears, tendonitis, arthritis, bunions and more. In fact, at the Raleigh Bone and Joint Surgery Clinic, we always implement conservative approaches to treatment. Lateral malleolus fracture: This is the most common type of ankle fracture. What are the different types of ankle fractures? Anatomy: The ankle is made up of two bones, the tibia (shin bone) and fibula (the bone on the outside/lateral aspect). 1 Introduction1.1 Classification2 Clinical Features2.1 Ottawa Ankle Rules3 Investigations4 Management4.1 Surgical Management5 Complications6 Key Points7 Ankle Sprain Introduction Ankle fractures are a common injury, more common in younger males or older females, and account for around 10% of all fractures seen in the trauma setting. The splint allows enough flexibility for swelling in a safe manner while keeping movement down to a minimum. If the fracture is open or comminuted, healing time may take longer. Shower boot or saran wrap with showers until closed. The time needed for off work is dependent on: For a great general resource for foot and ankle fractures, please review Foot and Ankle Fractures Patient Resources developed by the Foot and Ankle Surgery Department at the Kaiser Permanente Medical Center in Santa Rosa. Much more commonly they occur with both medial and lateral malleolar fractures, known as a Trimalleolar Ankle Fracture. Hes good at what he does and hes compassionate. After surgery, patients are typically not weightbearing for 4 to 6 weeks until the bone heals. Now Offering Telemedicine AppointmentsCall to Schedule, 8 Advantages of Arthroscopic Knee Surgery and Recovery, How To Fully Recover From an Achilles Tendon Injury, 3801 Wake Forest Road, Suite 220 Raleigh, NC 27609, open reduction and internal fixation (ORIF). This will also help to minimize pain because it holds your ankle in place and limits movement. This allows patients to start moving the ankle and to shower. No matter what method is used to treat the break, the bone takes the same amount of time to heal, usually 6-10 weeks. Breaks that occur suddenly, during a specific incident or injury, are known as traumatic ankle fractures. Much more commonly they occur with a lateral malleolus fracture and are known as Bimalleolar Fractures. By comparison, a delayed union fracture does eventually heal, but it takes much longer than is typical. Three bones make up the ankle joint. First, its important to realize that you may not need surgery to treat your broken ankle at all. He treats both adolescents and adults with a special focus on sports-related injuries, including ankle instability, cartilage lesions, and Achilles tendon injuries. In either case, you need to seek medical care from orthopedic doctors in Raleigh at the Bone and Joint Surgery Clinic. Stitches can be removed in approximately two weeks. Ligaments connect bone to bone to provide stability of the joints. The vital signs such as heart rate and blood pressure are monitored continually during the operation by a relevant specialist. In still others, there may be other factors involved in making the decision to operate or not. It is possible for these factors to severely slow the bone healing process or even result in non-healing of your fracture: 1. You might need this procedure to treat your broken ankle. Dr. Yakkanti did my knee replacement in June. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.. Ankle fractures may result from excessive stress on the joint such as from rolling . A nonunion occurs when the broken bone fails to heal. Reduce activity level, rest, and elevate the affected limb as much as possible every day for at least 2-3 weeks longer, if recommended by the doctor. Incision care-keep clean and dry. The goal of this protocol is to provide a clinical guideline for the non-surgical and post-surgical course of physical therapy for a patient who has suffered an ankle fracture. Click here for treatment details. Nonsurgical Treatment Surgery Recovery & Support Nonsurgical Treatment for Nonhealing Fractures A nonhealing fracture can cause pain until the bone heals fully. An ankle fracture is a break of one or more of the bones that make up the ankle joint. Rebecca took the time to listen to all of my issues and discuss a plan for additional treatment. The purpose of the study is to compare functional outcomes and recovery following surgical and non surgical treatment of potentially unstable , isolated fibula fractures. The most controversial ankle fracture is the . When ligaments are torn and associated with an ankle fracture, this damage can render the ankle unstable. If you had to have surgery,it could take up to several months. dr; if gap doesn't close will rebreak and plate. However, recovery takes much longer. If concern of wound, please take a picture and call Dr. Vora's office. Dr. Mark Reed is a board-certified orthopedic surgeon providing specialty care of all foot and ankle disorders. If the deltoid ligament is torn in association with a fracture, the ankle is generally unstable. Mark Reed, MD the type of work that you do (sedentary off feet vs active on feet), your employers policies and capacity to offer modifications of your duties. Ankle fractures make up about 9% of all fractures, which correlates to about 400,000 per year. One, two, or all three malleoli can be broken. Non-surgical treatment when the ankle is stable can consist of several supportive elements. This small device delivers ultrasonic or pulsed electromagnetic waves that stimulate healing The patient places the stimulator on the skin over the nonunion from 20 minutes to several hours daily. There is a cushion or lining between the bones, which is called cartilage. She was very thorough and extremely friendly. Maintain the fracture in its present alignment and prevent any further displacement /shifting, Provide sufficient support and stability to allow the bone to properly heal, Failure of bone healing (delayed or non-healing of bone), Malalignment and deformity (malunion of bone), Growth disturbance (particularly with growth center injuries in children), Blood clots in the leg (deep venous thrombosis), Blot clots in the lungs (pulmonary embolism), Complex regional pain syndrome (CRPS or RSD), Tendon injury or disruption of tendon function, Circulation disturbance of soft tissues or bone (including avascular necrosis of bone), Transfer of pain, fracture, or callus to new site, Premature weight bearing (when non-weight bearing has been recommended), Excess weight bearing (when weight bearing is allowed), Some medications (such as prednisone and anti-inflammatory medications). Pilon fracture (also called a plafond fracture): This is a fracture through the weightbearing roof of the ankle (the central portion of the lower tibia). Patients experience pain, ankle swelling, clicking in the ankle. Medial malleolus is a part of ankle joint and ankle fracture is common with incidence of 174 cases per 100,000 adults per year. A physical therapist can teach you exercises to improve your flexibility, balance and strength. Treatments include wearing a walking boot and icing, with surgery for more serious cases. It is a break of the lateral malleolus, the knobby bump on the outside of the ankle (in the lower portion of the fibula). An inappropriate or poorly executed surgery can lead a patient to require additional corrective surgeries and/or, years later, to develop ankle instability, arthritis or even the need for an ankle replacement operation. But when they do, it is important that they receive the appropriate surgery by a skilled foot and ankle specialist. The steps involved are as follows; The patient is put under general anesthesia. The doctor will recommend either, a non-removable cast, or removable walking cast depending on the inherent stability and risk level of the fracture. Non-surgical treatment Tibial fractures can be treated with or without surgery, depending on how bad the fracture is. 4130 Dutchman's Lane,Suite 300,Louisville 40207(502) 897-1794, 3605 Northgate Court,Suite 207,New Albany 47150(812) 920-0408, 2022 Louisville Orthopaedic Clinic | Follow Us on Facebook. Because our surgeons are affiliated with five local hospitals and outpatient surgery centers, our patients have a choice of where theyd like to go. They are commonly injured in the case of ankle sprains. An appointment for x-rays to be taken typically occurs at about 6-8 weeks into the treatment. Thank you! The walking boot is in place to protect rather than immobilize the fracture. Electronic and Ultrasonic Bone Stimulation The best way to do that is to avoid injuries if it is at all possible. Appointments 216.444.2606 Appointments & Locations Request an Appointment Symptoms and Causes Management and Treatment If weight bearing is allowed, the doctor may allow you to discontinue crutches as soon as you feel up to it, If weight bearing is not allowed, you will be required to use crutches or a walker. If you smoke, stop it can interfere with bone healing. The doctor will also advise you on a program for gradual resumption of your activities. View all posts by Mark Reed . Some injuries require surgical stabilization to restore ankle stability while others can be treated conservatively. New bone cells then form and grow on both sides of the fracture, eventually closing it. Avoid anti-inflammatory medications (such as ibuprofen, naproxen, aspirin, Advil, Aleve, etc. Non-surgical treatment If your calcaneus is not out of place or only slightly out of place after the fracture, it is considered stable. Medications Your doctor may recommend an over-the-counter pain reliever, such as acetaminophen (Tylenol, others). I suffered a right ankle fracture on March 16, 2020. Doctors think of the ankle as having three sides and a "roof," and fractures can occur in each of these areas or in combination. The purpose of this study was to assess the amount of post-operative pain medication being prescribed and how much of that medication was being consumed in patients who underwent an open reduction internal fixation (ORIF) of an ankle fracture. One key to success after fibula bone fracture surgical procedure is to decrease swelling by compression and elevation. The deltoid ligament is found on the inner part of the ankle and provides the majority of the stability of the ankle. If this happens, your doctor may need to perform a non-surgical procedure known as closed reduction. You are allowed to fully weight bear as tolerated in the walking boot. The most common nonsurgical treatment is a bone stimulator. Detailed recovery / rehabilitation protocol: Phase I: Weeks 1-3. Post Operative Course: After surgery most patients are placed into a boot with a sterile dry dressing on the ankle. It runs parallel to the tibia, a larger bone that also forms the shin, and attaches the ankle and knee . The treatment will be based on fracture alignment and stability of the ankle. However, unstable fractures requiring surgery usually need at least 8 weeks of non weight bearing to allow proper healing. Complicated fractures require additional recovery and healing time. Ankle fractures typically take 10-12 weeks to fully heal. But they can also be caused by a high-force impact, such as from a fall or automobile collision. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. If a fractured ankle is not properly treated, it can lead to significant, long-term complications and debility. I would recommend him to anyone. Podiatry 44 years experience. This type of surgery is usually performed under general anesthetic. For more serious fractures in which bones or bone fragments are misaligned, surgical intervention is necessary to prevent improper healing (malunion) that would impede proper movement in the ankle and possibly lead to other complications. If there is no displacement, you might have a splint placed on your lower leg. This procedure uses a low-level laser to penetrate the skin and stimulate tissue repair in a non-surgical manner. Nonsurgical treatment is also recommended for adults with poor overall health, fragile or chronically infected skin and less active patients. We are here to help. Home > Blog > Healthcare > Guidelines > Non-operative Treatment of an Ankle Fracture. Call 678-506-7132 or complete our online appointment request form. Broken ankles are usually caused by a rotational injury, where the ankle becomes twisted, turned or rolled while walking or running, such as during sports activity. This form of regenerative medicine uses growth factors or proteins, which some . This is usually a higher energy traumatic injury resulting from a fall from a height. A Maisonneuve fracture, for example, involves a complete disruption of the ligaments around the ankle associated with a fracture of the fibula at the level of the knee. The body begins healing itself by forming a blood clot around the injury. The procedure usually takes a few hours. So glad A friend told me to come see you guys! The main concerns are that it could cause a nonunion or a delayed union. Hold the stretch for a five-count and do 5 repetitions. If this is what's right for your type of fracture, your recovery may involve: Wearing high-top tennis shoes to protect your ankle as it heals For OCD patients, arthroscopic surgery involves scraping away the damaged cartilage . Bimalleolar and trimalleolar ankle fractures are specific types of injuries that commonly occur because of trauma, such as slips on the ice, a fall down stairs, sports injuries, and car crashes. The treatment will be based on fracture alignment and stability of the ankle. the bones to be moved back into place by a doctor (they'll give you an injection to numb your ankle) surgery to fix the broken bones; You'll usually have follow-up appointments to check your ankle is healing properly. This means that one or more of the bones that make up the ankle joint are broken. Keep the cast dry and intact until your follow-up appointment. Nondisplaced Bones are broken but still in correct position and alignment. Dr. Fred Birnbaum answered. Nonsurgical treatment may be an option when the break is minor, the bones are in alignment, and the ankle is stable. There are many varieties of ankle fracture that can occur. The tibia ends with two bony prominences, the medial (inside) malleolus and the posterior (in the back) malleolus. X-ray showing front view of a displaced fibula with medial clear space widening (asymmetry of the joint space) indicating a deltoid ligament disruption, X-ray showing side view of a displaced fibula fracture with a posterior malleolar fracture. For this type of injury, an ankle X-ray may not show a fracture or demonstrate the instability associated with this injury, because the actual bone fracture is well above the ankle, and the ligament injuries can only be seen with other forms of imaging, such as an MRI. Typically most of the recovery is completed by 4-6 months. Goals. Non-weight bearing is absolute no weight of the healing leg. The ankle joint is composed of the tibia, fibula and talus bones. An ankle fracture can range from a relatively minor twisting injury or due to high energy trauma. However, the medial malleolus is typically treated with screws alone. With a bimalleolar fracture, bones on both the inner and outer side of the ankle are injured. The Accident I was at the Bill Putnam (Fairy Meadows) Hut in British Columbia, Canada on a guided ski trip. You may apply ice pack behind your knee for 30 minutes, several times per day for the first two weeks. Typically these injuries are treated with a plate and screw construct, which supports the bone until it heals. Nondisplaced vs. displaced ankle fractures Within each of the above types, the fracture will be either: Nondisplaced - Bones are broken but still in correct position and alignment. Elevate the ankle at the level of the chest, for 23 hours a day for 7 days (for pain relief, swelling and wound healing). Common causes of pilon fractures are falls from heights and car accidents. The main concerns are that it could cause a nonunion or a delayed union. Usually, bones start rebuilding immediately after a doctor has aligned the bone fragments and stabilized them into place. Secondary objectives are to compare the re-operation rate, time to union and complications between the two treatment groups. Ankle fracture surgery is usually completed without an overnight hospital stay, unless a medical comorbidity requires additional observation. The goal is to have the bones heal as closely to perfect as possible so as to prevent any residual instability or malalignment of the bone. The doctor may allow you to discontinue crutches as soon as you feel up to it. For the first couple of weeks, patients are in a splint and are elevating the limb 90% of the day. However, if the bone has moved out of place and can be put back in to position - a procedure called closed reduction nonsurgical treatment may be sufficient. Conclusions: There is significant variation among orthopaedic surgeons when selecting period of non-weight bearing after fixation of ankle fractures, with both injury pattern and medical comorbidity playing a role in decision of time to keep patient non-weight bearing. Allogenic Collagen Therapy commonly referred by some physicians as 'Stem cell' Therapy is gaining popularity as a non-surgical treatment designed to improve or alleviate foot and ankle pain caused by a tendon, ligament or cartilage injury, as well as arthritis. Another common treatment method in non-surgical fractures is casting or splinting. You may use a 'cast / bandage protector for bathing', available on-line Eg. When the doctor recommends that weight bearing not be allowed, it is for the additional benefit against further fracture displacement / shifting, and to assure that bone healing will proceed properly. Involves Foot & Ankle Surgery . Once you are comfortable at this level, you may reintroduce higher-impact, straight-line activities (jogging, running). At the level of the ankle, the tibia and fibula are held together by a thick fibrous tissue known as the syndesmosis. Fractured ankle recovery begins once the injury has been diagnosed and initial treatment has been applied. Ankle Fracture Surgery Edited by Paul Juliano, MD Indications Ankle fracture surgery is indicated for patients who suffer a displaced unstable ankle fracture involving either the bone on the inside of the ankle (the medial malleolus), the bone on the outside of the ankle (the lateral malleolus which is also known as the fibula), or both. Ankle fracture repair requires a general anesthesia for this procedure, and . This boot should be worn at all times for at least a month, even to sleep. Get quick access to an HSS orthopedic surgeon. In unstable ankle fractures, the ankle joint itself is displaced or can be displaced when it is subject to normal forces. Syndesmosis injuries occurring on their own are discovered prior to surgery and require fixation. Initially, there can be pain and swelling that is controlled with medication and elevation of the ankle. Recovering from a broken ankle. You are required to be at the surgery center 1 hour before the scheduled start of the procedure, (or 2 hours ahead of time if the procedure is being performed at the hospital) and will need to stay in the recovery room for approximately 1 hour after surgery. Perhaps the most important classification of ankle fracture to both the doctor and the patient is whether the fracture will need surgical correction or not. For decades, weve helped hundreds of Raleigh and Triangle area residents recover from injuries and regain their everyday lives by treating ankle and foot injuries. What is the recovery time of a broken ankle? The goal is to protect the fractured bone while it heals. Therapy After your bone has healed, you'll probably need to loosen up stiff muscles and ligaments in your ankles and feet. Because the ankle joint comprises three bones, there are numerous types of ankle fractures. 1. Youre also at a higher risk of developing an infection or arthritis if you delay with your ankle fracture recovery. The lower portion of the tibia forms the roof and medial (inside) of the ankle, while the lower portion of the fibula forms the lateral (outside) and posterior (back) of the ankle. X-ray showing front view of surgical plates and screws to treat a trimalleolar fracture, X-ray showing front view of fixation of the fibula and posterior malleolus with restoration of the joint congruity. Based on the x-rays and how you are physically coming along, you will typically be given instructions for weaning from a removable walking cast to regular footwear. ankle fracture. After 10 to 14 days, the sutures are removed and patients are typically placed into a removable boot. For lower body issues such as plantar fasciitis, tendonitis, stress fractures, and various other ankle pains, cold laser therapy from Hecker Sports and Regenerative Medicine can non-invasively reduce pain, inflammation, and swelling. Edema control / swelling control. Learn how we can help. The orthopedic surgeons at Southwest Orthopedic Group can diagnose ankle fractures on x . Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057, Medical Weight Management Program Orientation, Excess Body Weight and Foot and Ankle Problems, Midfoot Impingement Syndrome and Degenerative Joint Disease of the Midfoot, Patients with Sensation or Circulation Loss in the Feet, Foot and Ankle Fractures Patient Resources, The fracture pattern is relatively stable (only one, or sometimes no more than two fracture locations), and. The lateral malleolus is treated with a plate and screws as usual. I was very impressed with how fast I got in, had x-rays, and met with her. Try to avoid playing or running on uneven surfaces. I was able to get a office visit on short notice. Often, surgery is needed to make the ankle joint stable. You will remain immobilized in the walking boot until 4 weeks post-injury. In others, the need for surgery may be determined by the total number of fractures present at the ankle and the degree of instability that they create for the ankle joint. Stretch the Achilles by placing a towel across the ball of your foot and pulling up. Many falls occur in the home, so try to eliminate clutter that may cause you to stumble. If you're in pain, our DFW-area orthopaedic surgeons can treat your concern using the latest non-surgical and surgical procedures available for feet and ankles. Non-Surgical Options to Treat Fractures Not all fractures requires surgery. Anesthesia. Keep the boot dry. When the avulsion fracture occurs, immediately wrap your ankle with a compression wrap or elastic bandage. A malalignment of as little as two millimeters in the ankle joint can lead to arthritis. Complications of ankle fractures include malunion, non-union, stiffness, and wound breakdown. Occasionally, you may be able to have an idea of whether its a sprain or a fracture by where the pain is located. The faster the swelling subsides, the faster is the recovery. Ankle Fracture Rehab Protocol. Symptoms include bruising or discoloration as well as pain that spreads up from the foot. Non displaced ankle fracture A 34-year-old female asked: Non displaced fracture, ankle w/ space in fibula. Make sure to use handrails when possible. Sometimes, it may be challenging to tell if your ankle has been broken or if youve suffered a bad strain. While it heals, support may be rendered by wearing a high-top tennis shoe, or a short leg cast. The fibula forms the lateral (outside) malleolus. This was my first time at Louisville Orthopaedic Clinic and I saw Melissa Parshall PA-C. Lateral Malleolus Fractures Most features are available only to members receiving care at Kaiser Permanente medical facilities. Numbness or tingling are other telltale signs of a fracture. Failure to get timely treatment could cause foot deformities that can interfere with walking, running or even completing daily tasks. Bimalleolar ankle fracture: This second-most common type involves breaks of both the lateral malleolus and of the medial malleolus, the knobby bump on the inside of the ankle (in the lower portion of the tibia). Typically, foot and ankle surgery is considered after nonsurgical treatments have been unsuccessful. Carly and Dr Goodin both have GREAT bedside manner and I feel I am in expert care with them. However, certain conditions, especially acute injuries such as ankle fractures, may require immediate surgery. Recovery time will depend on the severity of the initial injury but it often takes a year or more before patients reach their point of maximal improvement. But when ankles are badly broken, deformed, unstable or cause constant pain, surgery may be the only answer. Schedule an appointment to see an Emory specialist today. If your ankle has been fractured and you do not get medical attention, it can lead to long-term consequences. 3. In some cases, where medical or other health circumstances may be present, non-surgical management of an ankle fracture may be recommended, even though the above two criteria may not be present. Read thebelow articles fordiscussions onpediatric ankle fractures and stress fractures. Some stiffness is common after these injuries and can be very frustrating, but improvement continues for at least 6-12 months aft. In addition, we also help our patients by providing a comprehensive scope of services to help them with anything from carpal tunnel syndrome to sciatic nerve pain to joint replacements. Many times a couple of screws can be passed from the front of the ankle to the back or from the back to the front to hold the fracture. Trimalleolar ankle fracture: This type involves breaks in three sides of the ankle: the medial malleolus, the lateral malleolus and distal (lower portion) of the posterior malleolus of the tibia. Created for people with ongoing healthcare needs but benefits everyone. 2. These fractures can often be treated successfully without surgery. It takes about six weeks for bones to heal. 2 thanks. Patients will generally have six weeks of therapy or more if required. Be sure youre using appropriate and well-fitting shoes. Be sure to warm up properly before you play sports. Within each of the above types, the fracture will be either: There are some additional, unique types of fractures. 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