Fractures in the ankle can range from the less serious avulsion injuries (small pieces of bone that have been pulled off) to severe shattering-type breaks of the tibia, fibula, or both.Īnkle fractures are common injuries that are most often caused by the ankle rolling inward or outward. When this happens, the hardware may be removed after the fracture is healed, about a year from the original surgery.A fracture is a partial or complete break in a bone. In rare cases, the plate and screws can cause some pain or irritation. Most people do not have problems with the plate and Plates and screws used to fix an ankle fracture are not removed if they are not causing problems. Will my ankle hardware (plate and/or screws) have to be removed at some point? Steroid use, and nicotine use ( cigarette smoking or smokeless tobacco). Factors that increase risks after ankle fracture surgery include diabetes, Possible complications include infection and problems with healing. Potential long-term problems after ankle fracture surgery include ankle joint stiffness, weakness, and arthritis. While everyone is different, it may take up to a year after surgery for some patients to regain ankle function.Īll surgeries come with possible complications, including the risks associated with anesthesia, infection, damage to nerves and blood vessels, and bleeding or blood clots.
#Bimalleolar fracture full#
May need physical therapy for their ankle to regain full movement and strength. You can progress to normal activities once the bones are fully healed. You are then allowed to wean out of the cast or boot.
Once the broken bones start to heal, you will be told when you can put weight on the ankle in your cast or boot. The boot protects the ankle as it heals but can be removed to allow washing, wound checks, and icing. Once the wounds are healed, you will be fitted for either a cast A shower chair or bench may be helpful to keep weight off your leg in the shower. You will not be able to put weight on your ankle during this time and may use crutches, a knee scooter, or a wheelchair to get around. Immediately after surgery, your ankle will be immobilized for a few weeks. Surgical treatment of ankle fractures allows patients to regain ankle function while the bones and joint heal. This internal fixation provides stability so movement can begin shortly after surgery as the ankle fracture heals. The brokenīones are then held together (internal fixation) in this correct position with metal plates and/or screws. Like a jigsaw puzzle, the pieces of the broken bones are placed back together (open reduction). An incision is made over the ankle to see the fractured bones. Most ankle fracture surgery involves open reduction and internal fixation (ORIF). Some patients go home after surgery the same day while others may After the ankle fracture is repaired, the patient's leg is placed in either a protective splint, cast or boot. Then repositioned and held in place with implants (screws and plates).
#Bimalleolar fracture skin#
Incisions are made through the skin of the ankle where the bones are broken. Once the patient receives antibiotics and anesthesia, the surgery can safely begin. Surgery may be too risky when patients have a severe medical conditionĪntibiotics are given shortly before the start of the surgery. These are called open ankle fractures and require surgery.Īnkle fracture surgery is not needed if the ankle is in proper alignment and stable despite the fracture. In some cases, the bones of the ankle may poke through the skin. When the ankle fracture is unstable or in bad position, surgery is needed to repair the ankle. Stabilizing the ankle with plates and screws may allow earlier motion. Getting the ankle joint back in place helps to decrease the risk of developing arthritis of the ankle. The main goal of ankle fracture surgery is to put the ankle joint back in place and to stabilize the bones to heal. X-rays help determine if treatment from a foot and ankle orthopaedic surgeon is needed.
Of an ankle fracture include pain especially with weight bearing, swelling, bruising, and problems with ankle motion.
Ankle fractures can be displaced (out of place) or non-displaced. Symptoms One, two, or all three malleoli can be broken. Ankle fractures happen with twisting of the ankle, falls, car accidents, or other injury. The fibula forms the lateral (outside) malleoli.Ī broken ankle (ankle fracture) occurs when the malleoli are broken. The tibia has a medial (inside) malleoli and a posterior malleoli. The ends of these bones are called malleoli.
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