In general, physical therapy for a broken ankle lasts about 6 to 8 weeks. Your personal experience with PT may be shorter or longer depending on your specific injury. Continuing your home exercise program is a component of your rehabilitation.
- 1 Can you walk on a broken ankle after 6 weeks?
- 2 Do you need physical therapy after a broken ankle?
- 3 How do I know if my broken ankle is healing?
- 4 What are the long term effects of a broken ankle?
- 5 Will my ankle ever be the same after a break?
- 6 When should I start physio after ankle fracture?
- 7 What are the 5 stages of fracture healing?
- 8 What is the fastest way to heal a broken ankle?
- 9 What slows down bone healing?
- 10 Will my broken ankle ever stop hurting?
- 11 Can a broken ankle cause problems later in life?
- 12 Broken Ankle: Diagnosis, Treatment, Surgery & Recovery
- 13 Treatment Options for an Ankle Fracture
- 14 How Long Does It Take For a Broken Ankle to Heal?
- 15 When To Start Physio After A Broken Ankle
- 16 Your first physio appointment: what to expect
- 17 PhysiotherapyImportance of Prescribed Exercises
- 18 Do I Need Physical Therapy After An Ankle Fracture?
- 19 How Does Physical Therapy Help?
- 20 Consult with a Physical Therapist
- 21 What Should I Expect From Ankle Fracture Surgery and Recovery?: Eugene Stautberg, MD: General Orthopedic Surgeon
- 22 Physical Therapy for an Ankle Fracture – Information, Exercises, and More
- 23 What is an Ankle Fracture?
- 24 What Causes an Ankle Fracture?
- 25 Symptoms You May Experience After an Ankle Fracture
- 26 Treatments After an Ankle Fracture
- 27 Ankle Fracture Physical Therapy – Will PT Help?
- 28 Best Exercises After an Ankle Fracture
- 29 How In Motion O.C. Can Help With Recovery After an Ankle Fracture
- 30 Guide
- 31 What Is an Ankle Fracture?
- 32 Signs and Symptoms
- 33 How Is It Diagnosed?
- 34 How Can a Physical Therapist Help?
- 35 Can This Injury or Condition Be Prevented?
- 36 What Kind of Physical Therapist Do I Need?
- 37 Is this content helpful?
- 38 You Might Also Like.
- 39 What Is An Ankle Fracture?
- 40 So I Got My Cast Off After My Ankle Fracture, Now What?
- 41 What To Do After An Ankle Fracture: Range Of Motion Exercises
- 42 References
- 43 Ankle Fractures (Broken Ankle) – OrthoInfo – AAOS
- 43.1 Medical History and Physical Examination
- 43.2 Imaging Tests
- 43.3 Nonsurgical Treatment
- 43.4 Surgical Treatment
- 43.5 Nonsurgical Treatment
- 43.6 Surgical Treatment
- 43.7 Nonsurgical Treatment
- 43.8 Surgical Treatment
- 43.9 Nonsurgical Treatment
- 43.10 Surgical Treatment
- 43.11 Nonsurgical Treatment
- 43.12 Surgical Treatment
- 43.13 Pain Management
- 43.14 Rehabilitation
- 43.15 Weightbearing
- 43.16 Supports
- 43.17 Nonsurgical Treatment
- 43.18 Surgical Treatment
Can you walk on a broken ankle after 6 weeks?
This injury takes approximately 6 weeks to heal. Walking: You may walk on the foot as comfort allows but you may find it easier to walk on your heel in the early stages.
Do you need physical therapy after a broken ankle?
Even if your ankle fracture has healed, you still need physical therapy to ensure your ankle and lower leg are in pristine condition. When a fracture occurs, the area is generally immobilized, so the body can heal the fracture.
How do I know if my broken ankle is healing?
Signs Your Broken Bone Is Healing
- What You Experience During Healing. The following steps are what you will go through as your broken bone is healing:
- Pain Decreases.
- Range of Motion Increases.
- Swelling Goes Down.
- Bruising Subsides.
- Orthopedic Clinic in Clinton Township, MI.
What are the long term effects of a broken ankle?
Long term effects of ankle fractures have been reported to include physical, psychological, and social consequences . It has been reported that physical impairments following ankle fractures may include pain, functional impairment and the development of post-trauma arthritis .
Will my ankle ever be the same after a break?
If it’s a low-to-medium grade ligament injury or a stable bone fracture, then it’s highly likely that the ankle will be similar to before. With more severe ligaments and unstable fractures, there is always some difference in flexibility and appearance.
When should I start physio after ankle fracture?
The next step of physiotherapy happens once the ankle has been set and is somewhat healed, normally six to ten weeks after the injury. Then the patient will begin to attend appointments with a physiotherapist to begin the rehabilitation process.
What are the 5 stages of fracture healing?
However, these stages have considerable overlap.
- Hematoma Formation (Days 1 to 5) This stage begins immediately following the fracture.
- Fibrocartilaginous Callus Formation (Days 5 to 11)
- Bony Callus Formation (Days 11 to 28)
- Bone Remodelling (Day 18 onwards, lasting months to years)
What is the fastest way to heal a broken ankle?
Rest: Rest is key. Staying off your injury will help you heal faster. You will likely wear a cast to help keep the foot and ankle immobilized. Ice: Ice the area for 20 minutes at a time to help with swelling and inflammation.
What slows down bone healing?
A wide variety of factors can slow down the healing process. These include: Movement of the bone fragments; weightbearing too soon. Smoking, which constricts the blood vessels and decreases circulation.
Will my broken ankle ever stop hurting?
Your doctor fixed a broken (fractured) bone without surgery. You can expect the pain from the bone to get much better almost right after the procedure. But you may have some pain for 2 to 3 weeks and mild pain for up to 6 weeks after surgery.
Can a broken ankle cause problems later in life?
Complications of a broken ankle are uncommon but may include: Arthritis. Fractures that extend into the joint can cause arthritis years later. If your ankle starts to hurt long after a break, see your doctor for an evaluation.
Broken Ankle: Diagnosis, Treatment, Surgery & Recovery
Only a medical professional can assess whether or not you have a fractured ankle. They’ll inquire about your symptoms and the manner in which you damaged your ankle, as well as your medical history, among other things. It is likely that they will check your ankle and, if they believe it is fractured, they will request imaging tests to examine the bones in further detail.
X-rays, the most commonly used imaging technique, are capable of diagnosing the majority of ankle fractures. Also determined by the doctor is the severity of the ankle fracture and whether or not there are any additional fractures in your leg or foot.
Computerized tomography (CT) scans generate a cross-sectional image of the ankle, ankle joint, and leg in a short period of time with minimal discomfort. A CT scan may be used to visualize both hard and soft tissues. As a result, it can be quite useful in the diagnosis of ankle fractures, cartilage injuries, and dislocations.
Ligament injuries, sprains, and stress fractures may all be detected with high accuracy using magnetic resonance imaging (MRI) scanning. In the case of ankle fractures, magnetic resonance imaging (MRI) is not routinely performed, although it may be done as part of a more complete assessment by an Orthopedic surgeon.
Questions to Ask About Your Broken Ankle
Finding out that you have a fractured ankle may be a frightening situation. Here’s a brief list of questions you might want to ask your doctor to get you started on the road to recovery.
- Is it necessary for me to have surgery, and what are the risks? How long will it take before I am able to return to work? Is it possible that my way of life or medical issues will put me at risk for a prolonged recovery time? As soon as I am able to start walking on my leg again, I will do so. How long will it take until I am able to resume my normal activities
- When will I be able to resume sports or high-impact activities?
Treatment Options for an Ankle Fracture
A number of factors influence your treatment approach, including the kind, location, and severity of your ankle fracture. During the healing process, you’ll most likely need to wear a cast, splint, or walking boot for around six to ten weeks to protect your bones from moving about. For the duration of this period, you will be non-weight bearing, which means that you will be unable to place any weight on your damaged leg at all. To make this part of your rehabilitation as seamless and successful as possible, you’ll need to utilize a mobility device such as crutches, a knee scooter, or a hands-free crutch.
This is frequently due to the fact that the bone has been cracked in more than one location or that it has shifted out of position.
A fractured ankle is most commonly treated by open reduction and internal fixation (ORIF), which involves the use of metal rods, plates, and screws to realign the bone or bones that have been shattered.
This sort of surgery is normally carried out under general anesthesia to provide the best possible outcome.
How Long Does It Take For a Broken Ankle to Heal?
A fractured ankle will require between six and ten weeks of recovery time. Regardless of whether you undergo surgery, you will most likely need to wear a cast, splint, or walking boot for the first six weeks after your injury. Once your doctor has given you the green light, you may begin placing pressure on your foot and gradually working your way back up to walking over the course of a few weeks. During your initial few steps, you’ll put on a walking boot to provide you with more assistance.
Stagnation and contracture, which is the tightening of muscles and tendons that causes a joint to shorten and become extremely rigid, are prevented by doing so.
Some swelling may persist for up to a year following the procedure, and your doctor will advise you whether it is safe to resume sports or high-intensity physical activity.
When To Start Physio After A Broken Ankle
It takes between six and ten weeks to recover from a fractured ankle. Regardless of whether you undergo surgery or not, you will most likely need to wear a cast, splint, or walking boot for the first six weeks after your injury or accident. Following approval from your doctor, you can begin putting pressure on your foot and gradually increasing your ability to walk over the course of several weeks. Your initial steps will be assisted by the use of a walking boot to provide support. Following the healing of a fractured ankle, it is critical to practice moving your ankle in all directions on a regular basis.
Some swelling may persist for up to a year following the procedure, and your doctor will advise you whether it is safe to resume sports or high-intensity physical activity.
Your first physio appointment: what to expect
A fractured ankle will require between six and ten weeks to heal. Regardless of whether you undergo surgery or not, you will most likely need to wear a cast, splint, or walking boot for the first six weeks after your injury. Once your doctor has given you the green light, you may begin placing pressure on your foot and gradually working your way back up to walking over a few weeks. You’ll put on a walking boot to provide more support as you take your first steps. Once your fractured ankle has healed, it’s critical to continue to focus on moving your ankle in all directions on a regular basis.
Some swelling may persist for up to a year following the procedure, and your doctor will advise you whether it is safe to resume sports or high-impact activities.
- Gait. After an injury, this is an evaluation of the way a person walks, for example, how much they are limping, and it is used to determine their limits and develop therapy plans to address those restrictions. Scar tissue is a type of connective tissue that forms after a wound heals. The incision, as well as sprains and strains from the injury, will leave a scar (or scars) on the skin of the individual who has undergone surgical intervention. A physiotherapist can administer and teach massage methods to aid in the healing process and the expansion of range of motion in the area around scar tissue. Strength. Ankle strength will be diminished after several weeks of not being put under any pressure or exercising the ankle
- Consequently, it will be necessary to determine how much weight the ankle can sustain. Pain. Even though the healing process is well underway, there may still be feelings of discomfort as the injury heals over the course of time. If there is shooting pain or discomfort, a physiotherapist will analyze the situation and determine what should be done to alleviate it. The ability to move freely. When an ankle is broken or fractured, the whole range of motion is restricted, and it is critical to re-establish that function in order to return to regular activities.
Related Articles:What Can I Expect From Physiotherapy,Knee,What Runner’s To Eat Before A Workout,What To Expect From Physiotherapy,What To Expect From Physiotherapy, How to Choose a Pair of Running Shoes Preventing Back Pain Is Simple. What Is a Pinched Nerve and How Does It Happen? Following the examination, a physiotherapist will devise an exercise program to help strengthen the muscles and restore the range of motion that has been lost in the joint, both of which are critical in helping an ankle regain its full range of motion.
PhysiotherapyImportance of Prescribed Exercises
Additionally, the physiotherapist may work with a patient to improve gait training, weight and resistance exercises, stretching and flexibility, and other aspects of their health and well-being. Furthermore, as previously noted, it is critical that the injured individual be dedicated to executing the prescribed exercises on a regular basis, both at home and between consultations. A fractured ankle or fracture requires physiotherapy to help the patient regain strength and movement following the injury.
In the event that you’ve been involved in an accident that resulted in a break or fracture and are seeking for a skilled, experienced physiotherapist in downtown Vancouver to guarantee that you can return to your normal way of life, please contact us to schedule an appointment immediately.
Do I Need Physical Therapy After An Ankle Fracture?
Thursday, October 4, 2019 A sprained ankle can put a complete stop to your everyday activities. When you have an ankle fracture, you will be unable to conduct even the most fundamental of activities, such as walking. A lot of folks believe that they are fully recovered once their fracture has healed. This, however, is not the case. Even after your ankle fracture has healed, you will still require physical therapy to ensure that your ankle and lower leg are in optimal shape for walking. Generally, when a fracture develops, the affected part is immobilized to allow the body to mend the fracture.
As a result of the healing process, your ankle will not be as strong or stable as it was before the fracture occurred.
How Does Physical Therapy Help?
Physical therapy helps your body to be in the best possible shape so that it can perform as it should. It is the treatment of orthopedic pain and disorders using methods such as exercise, massage, and other therapies that is referred to as physical therapy. Your ankle will need to be rehabilitated once it has healed to ensure that it can move freely again. Physical therapy will assist you in reaching your goals. Before designing a personalized physical therapy plan for you, your physical therapist will learn about your medical history, the freshly healed fracture, and your general health to better understand your needs.
- In order to do this, your physical therapist may include the following activities in your physical therapy plan: Exercises to Increase Flexibility When it comes to maintaining proper ankle function, flexibility is essential.
- When you suffer a fracture and are unable to utilize your ankle, the tendons, ligaments, and muscles in the surrounding area become stiff and uncomfortable.
- It is possible to injure yourself if you extend them too soon.
- They are capable of doing this in a safe manner to prevent you from becoming hurt again.
- In other words, your ankle is weaker than it used to be.
- Exercises for Maintaining Balance A weakened ankle as a result of a fracture injury can be extremely unstable.
It is possible that you will have difficulty standing or walking and that you will lose your equilibrium. Physical therapy can assist you in regaining stability in your ankle so that you do not run the danger of falling over or reinjuring yourself.
Consult with a Physical Therapist
Including physical therapy in your recovery plan is essential if you have sustained an ankle injury and wish to return to peak physical condition. Customized treatment regimens are used by The Podiatry Group of South Texas to give patients with the highest quality podiatric care possible. To schedule an appointment for your podiatry requirements, please contact (210) 227-8700 ext. 1. You may also make an appointment over the internet.
What Should I Expect From Ankle Fracture Surgery and Recovery?: Eugene Stautberg, MD: General Orthopedic Surgeon
More information on whether or not surgery is required for your ankle fracture may be found here. But, in the event that it happens, there are a few things you should be aware of. What should I do in order to prepare for ankle fracture surgery? In the first instance, avoiding walking on your ankle and elevating your ankle are the most effective ways to reduce swelling. Reduced swelling improves in the management of pain as well as the healing of the wound. Consult with your orthopedic surgeon for post-operative procedures.
- It is possible that you will need to purchase goods to aid in your recuperation, such as crutches, a walker, a knee scooter, and/or a shower chair to aid in your recovery.
- Surgically repairing an ankle fracture can be accomplished in a variety of methods.
- Open reduction and internal fixation are the terms used to describe ankle fracture surgery.
- If the medial (inside) ankle is broken as well, a second incision is made on the inside of the ankle, and additional screws and/or a plate can be utilized to stabilize the fractured ankle joint.
- Stainless steel or titanium can be used for the plate and screws.
- This technique involves inserting a camera into the ankle joint in order to examine the cartilage and remove any loose bits of bone as well as inflammatory cells from your ankle joint during the process.
- The hazards associated with ankle fracture surgery are the same as those involved with any surgical procedure.
Following ankle fracture surgery, patients may have edema and stiffness.
What should you expect following ankle fracture surgery?
Except in the case of a medical comorbidity that necessitates an overnight hospital stay, ankle fracture surgery may normally be accomplished without an overnight stay.
Closing the wound with stitches will take around two weeks.
While the bones mend, the ankle is covered with a cast and/or a walking boot to prevent further damage.
Physical therapy will be required for the majority of patients in order to improve their range of motion, strength, and endurance.
Long-term swelling is one of the most prevalent problems experienced by patients following ankle fracture surgery.
Is it possible to get my ankle hardware (plates and screws) removed?
In a small number of individuals, the plate and screws might cause some discomfort immediately over the metal.
More information regarding ankle fractures may be found at FootCareMD, which is maintained by the American Orthopaedic FootAnkle Society (AOFAS). Dr. Stautberg’s office may be reached at 281-977-4870 if you have any more questions or would like to schedule an assessment.
Physical Therapy for an Ankle Fracture – Information, Exercises, and More
You’ve sprained or fractured your ankle. After many weeks on crutches and several weeks in a cast, it’s time to get back on the path to health. However, after being off your ankle for an extended period of time, you may discover that you are unable to return to your usual activities even after you have discarded the crutches. However, while your bones may have healed, your ankle muscles, ligaments, and joints may require further assistance when it comes to recovering mobility: Physical therapy after an ankle fracture is the most effective technique to expedite the healing process and return you to your previous levels of activity.
What is an Ankle Fracture?
It is possible to sustain an ankle fracture, often known as a broken ankle, when any of the three bones in the ankle joint are fractured or shattered in more than one place:
- Tibia (shinbone)
- Fibula (outer ankle bone)
- Talus (the bone that links your leg to your foot)
- Tibia (shinbone)
Ankle fractures are painful and can be debilitating for a period of time. The severity of a fractured ankle differs from person to person. Fractures can range in size and severity from minor stress fractures or fissures in your bones to severe complex breaks that breach the surface of your skin.
What Causes an Ankle Fracture?
A fractured ankle is most often the consequence of a twisting or rotating injury, although it can also be caused by a direct hit to the ankle joint itself. The following are examples of common causes:
- Mistakes, trips, and falls
- Sports injuries
- The impact of an automobile accident
- And other incidents.
Symptoms You May Experience After an Ankle Fracture
Following an ankle fracture, your doctor would most likely instruct you to avoid putting any weight on the afflicted foot until the fracture has healed. It is possible that using your ankle too soon will prevent the bones from mending properly. In most cases, 6 to 10 weeks of no weight-bearing exercise is recommended, depending on the severity of the injury. During this time, you may be required to utilize or be put in the following situations: After your ankle fracture has healed, what will you do with your foot?
Smaller, Weaker Muscles
After your ankle fracture has healed, what do you do with your foot? You will enter a new phase of recovery when the cast is removed and you are given the go-ahead to begin walking again.
Stiff Ligaments and Limited Range-of-Motion
When joints remain immobilized for an extended period of time, stiffness will develop even after mobility has been restored. When you first discover the injury, you may realize that you are unable to move your ankle as readily as you were previously.
Treatments After an Ankle Fracture
A multitude of therapies, including the following, may be necessary to mend a fractured ankle:
- The use of a walk-in boot, cast, or splint
- Crutches are used to assist with walking
- Areduction is a non-surgical treatment in which your doctor manually pulls your bone back into its proper position. Surgery – In the case of serious ankle fractures, surgery may be required.
Following initial therapy to cure the bone or bones, it is possible that you may require a range of therapies in order to return to your previous level of activity. These may include the following:
Anti-inflammatory medications such as ibuprofen and naproxen, which are available over-the-counter, can help reduce swelling and pain in your ankle joint.
In the first few weeks after an ankle fracture, you may need to wear a splint, hard cast, or walking boot to protect your bones from moving about in the wound.
However, even after the fracture has healed, your doctor may prescribe that you wear an ankle brace while participating in sports activities for a period of time following the fracture.
In the first few weeks after an ankle fracture, you may need to wear a splint, hard cast, or walking boot to restrict your bones from sliding around in their socket. The use of an ankle brace for many months while participating in sports activities may be recommended by your doctor, even after the fracture has healed completely.
Ankle Fracture Physical Therapy – Will PT Help?
Physical therapy is the most effective technique to retrain your muscles and joints for activity after a broken ankle, as well as to help avoid further damage. You can learn exercises from a physical therapist that will help you to enhance your:
Best Exercises After an Ankle Fracture
When you’re healing from an ankle fracture, you won’t be able to jump back on the treadmill or return to your weekly tennis match until your bone has healed completely. As a result, you will need to gradually resume your normal activities while under the supervision of a doctor or physical therapist. They’ll devise a treatment plan that is tailored to your injuries and your recovery objectives. They may also advise you to elevate and ice your ankle once you have completed the workout regimen that has been advised for you.
As soon as you are out of your cast or ankle brace, the first thing you should focus on is restoring range of motion and mobility to your ankle. It’s normal for your muscles and ligaments to become stiff and tight after several weeks or even months of inactivity. In certain cases, your physical therapist will utilize manual (hands-on) treatment to gently manipulate the joints in your foot and ankle. Additional physical therapy activities for ankle fractures that your physical therapist may offer to you are as follows: Ankle Alphabet is an abbreviation for Ankle Alphabet.
- Trace the alphabet with the big toe, starting at the ankle joint and working your way up. Repeat for a total of 5 minutes. This exercise encourages your ankle to move in all directions at the same time.
Flex and extend your ankles.
- Flexion and extension of the ankle joints
After the ankle has been compressed for such a lengthy period of time, increasing flexibility is essential. Exercises that increase ankle flexibility help to relieve tension in the ankle muscles, joints, and ligaments. This can be accomplished by the following methods:
In the event that you are able to bear weight on your ankle without experiencing considerable discomfort or swelling, your physical therapist will most likely integrate strengthening exercises into your treatment plan.
After a fracture, a weak ankle might become unstable, which can lead to more complications. You can improve your balance and control by performing single-leg standing exercises on the injured ankle. As a starting point, consider utilizing a chair to provide more support.
How In Motion O.C. Can Help With Recovery After an Ankle Fracture
Knee and ankle rehabilitation are not new to the physical therapists at In Motion of Orange County. We’ve worked with hundreds of patients to help them restore their strength, flexibility, and equilibrium. We can assist you as well because we are the number one Physical Therapist on Yelp in the entire country.
Within minutes, we’ll have you up and running again. * Dr Natalie Thomas, PT, DPT, has evaluated the material on physical therapy for ankle fractures provided on this page. You can contact us here if you have any queries or need further information.
An ankle fracture occurs when a bone on one or both sides of the ankle is partly or totally shattered, which can occur on either side of the ankle. The majority of ankle fractures are caused by twisting injuries and falls, as well as injuries sustained when participating in sports or playing. The majority of ankle fractures occur in men under the age of 50. Women are more likely than males to have ankle fractures beyond the age of 50. There are several types of ankle fractures, ranging from basic to severe, and they can affect one or all three bones that make up the ankle joint.
Physical therapy plays a crucial part in your treatment and rehabilitation from an ankle fracture, as well as your ability to return to regular activities after you have had the fracture repaired.
They improve the quality of life of their patients via hands-on treatment, patient education, and prescribed physical activity.
Find a PT is a website that can help you locate a physical therapist in your region.
What Is an Ankle Fracture?
An ankle fracture is a damaged bone on one or both sides of the ankle joint that is totally or partly shattered. Ankle fractures can occur in a variety of ways, with one, two, or three bones being shattered in certain cases. The following are the classifications depending on the number of shattered bones:
- Fracture of the lateral malleolus. The fibula, which is located on the outside of the ankle, is the only bone that has been shattered. Fracture of the medial malleolus. The tibia, which is the bone on the inside of the ankle, is the only bone that has been shattered. Bimalleolar fracture is a kind of fracture in which two malleolar bones are broken at the same time. The fibula and the tibia are both shattered, causing the injury. Trimalleolar fracture is a type of fracture that occurs in three parts. Specifically, the fibula, tibia, and posterior malleolus (the tibia located in the rear of the foot) are all shattered.
The severity of the fracture is divided into the following categories:
- Nondisplaced. The parts of the cracked bone are still arranged in a straight line. Displaced. The two pieces of the shattered bone are not aligned with one another. Comminuted. A splinter or many tiny bits of bone are discovered at the site of the fracture. Fracture with a lot of moving parts. Significant damage has occurred to the soft tissue that surrounds the fractured bone. Fracture of the Compound Bone. Fracture fragments have the potential to puncture the skin.
Whenever a fracture involves several shattered bones or when the bones do not remain in their original alignment, the fracture is called unstable and requires rapid medical attention. In addition to the possibility of infection, a complex fracture is a complication.
Signs and Symptoms
People who suffer an ankle fracture may have the following symptoms:
- After a twisting injury or a fall, you will experience immediate and acute pain. The injury was caused by a “pop” or “snap” that could be felt or heard at the time of the accident. Ankle swells up with fluid
- Tenderness or discomfort in the ankle region
- When standing or walking, it is difficult to bear weight on the ankle. It is impossible for you to bear any weight on your ankle at all. Bruising
- When you are active, the pain gets worse and gets better with rest. Due to swelling and agony, it is impossible to put on a shoe. At the ankle, there is a lump or deformity that can be seen or felt.
How Is It Diagnosed?
If you visit your physical therapist after suffering an ankle injury, the physical therapist will inquire about your medical history as well as the circumstances surrounding the accident. During your physical therapy session, your physical therapist will assess your ability to walk and bear weight on the damaged side, as well as gently evaluate the afflicted region for signs of edema, deformity, and discomfort. Your physical therapist will also evaluate your foot and lower leg to see whether any other portions of your body have been affected by the injury.
An x-ray is required to determine whether or not an ankle fracture has occurred.
It is critical to have an ankle injury evaluated by a physical therapist or medical practitioner as soon as possible after suffering an ankle injury in order to distinguish between a severe sprain and a shattered bone.
If the bone is penetrating the skin, go to the nearest hospital emergency department as soon as possible.
How Can a Physical Therapist Help?
The physical therapist will inquire about your medical history and the manner in which the ankle injury happened if you visit him or her after suffering an ankle injury. During your physical therapy session, your physical therapist will assess your ability to walk and bear weight on the damaged side, as well as gently inspect the injured region for signs of edema, deformity, and discomfort, among other things. Your physical therapist will also evaluate your foot and lower leg to determine whether any other portions of your body have been affected as a result of your injury.
If you suspect you have an ankle fracture, an x-ray is recommended.
To distinguish between a serious sprain and a fractured bone, it is critical to have your ankle injury evaluated by a physical therapist or medical practitioner as soon as possible following the incident.
- Educate you on the RICE protocol for acute injury management, which stands for rest, ice, compression, and elevation
- And Reduce the amount of movement in your ankle by wrapping it with an ace bandage or putting a stirrup brace to keep it from swelling. Apply ice to the affected area to relieve discomfort and swelling
- Instruct you to elevate the ankle that has been injured in order to minimize edema. Instruct you to walk using crutches or a walker to avoid placing any weight on the damaged ankle
- Formalize suggestions for further treatment with an orthopedic physician or in the emergency department.
Depending on how many bones are shattered and whether it is a basic, complicated, or compound fracture, the therapy for an ankle fracture will be different for each person. The first step in treating a fracture is for your doctor to realign and stabilize the bones, which can be done in the hospital emergency department or, if necessary, with surgery.
If surgery is necessary, the afflicted ankle will be immobilized in a cast or fracture boot to ensure that it remains stable after the procedure. Once you have been declared medically stable, a physical therapist will come to your hospital room to assist you in getting up and out of bed. In order to stand up, your physical therapist will assist you in sitting up on the bedside table. You will not be able to put any weight on the ankle that has been injured for about 6 to 10 weeks. Walking with the use of an assistive device, such as crutches or a walker, is something your physical therapy will teach you how to do.
After receiving confirmation from an x-ray that the fracture has healed, your doctor will remove the cast.
If You Do Not Require Surgery
A cast or fracture boot will be put on the damaged ankle if surgery is necessary to stabilize it after the procedure. As soon as you have reached a medically stable state, a physical therapist will visit your hospital room to assist you in getting out of bed and moving around. Initially, your physical therapist will assist you with sitting up at your bedside and then standing up. The affected ankle will be immobilized for approximately 6 to 10 weeks after the procedure. Your physical therapist will instruct you on how to walk with the aid of an assistive device, such as crutches or a walker, if you require it.
After receiving confirmation from an x-ray that the fracture has healed, your doctor will remove your cast. As you learn to securely place weight on your ankle, your physical therapist will help you get back into your typical routine by providing treatment.
- Instructions on how to walk. Your physical therapist will assist you in beginning to bear part of your weight on the damaged leg, with the goal of progressively increasing your weight to the full amount recommended by your physician. Training your gait. Your physical therapist will provide you with specific instructions and exercises to help you get back into a normal walking routine. The movement of your foot and ankle, as well as the time of your steps, will be the primary emphasis. Using a low-speed treadmill, flat ground, and stairwells are all good places to practice. Swelling is being reduced. After an ankle fracture, it is typical to have swelling. Gentle massage, the use of a compression wrap, the application of cold or heat, and elevating the afflicted ankle while at rest are all possible treatments. Exercise. In order to help you strengthen and restore motion in your damaged ankle, your physical therapist will devise an exercise program that you may begin as soon as the cast is removed. It is critical to regaining the capacity to bend your ankle in order to regain your complete walking ability
- This is referred to as Restoring Ankle Mobilty. During manual (hands-on) therapy, your physical therapist may gently manipulate your foot and ankle joints and surrounding tissues to reduce stiffness and enhance the ankle’s bending range of motion
- Return to work or play activity. As you develop strength and flexibility, your physical therapist will give you with activity training that is tailored to your work, leisure activity, or sporting activity.
The return to full involvement in sports and job activities usually happens between 12 and 16 weeks after an ankle fracture has healed completely. Note: Physical therapy treatment varies from person to person and is determined by the type of injury sustained, the manner in which it is healing, if surgery was performed, as well as the patient’s age and physical health.
Can This Injury or Condition Be Prevented?
The majority of ankle fractures are not preventable. Some safeguards, on the other hand, may be necessary. To lower your chances of suffering an ankle injury, do the following:
- When engaging in sports, make sure you’re wearing the proper protection gear. Train to achieve your highest possible levels of strength and fitness
- Wear appropriate footwear, and replace athletic shoes on a regular basis.
To lower your chance of falling, do the following:
- Reduce the amount of obstructions and clutter in your home’s corridors and rooms
- Work and play in settings that are well-lighted
- Make use of night lighting in your home
- Grab bars should be installed in the tub and shower areas. Railings should be installed on both sides of stairways. Maintaining your strength and fitness throughout your life is essential.
What Kind of Physical Therapist Do I Need?
Physical therapists are all trained and experienced in the treatment of ankle fractures, as a result of their education and experience. However, you might want to think about the following:
- A physical therapist who has extensive expertise in the treatment of sports injuries and orthopedic disorders is sought. A number of physical therapists have specialized practices in sports medicine and orthopedics. A physical therapist who is a board-certified clinical specialist in orthopedics and sports physical therapy, or who has completed a residency or fellowship in orthopedics and sports physical therapy Your ailment may benefit from the expertise of this therapist, who possesses extensive knowledge, experience, and abilities.
The American Physical Therapy Association created Find a PT, an online tool that allows you to look for physical therapists in your area who have specific clinical expertise. You can find these and other credentials by searching for physical therapists in your area who have these and other credentials. When looking for a physical therapist (or any other type of health care practitioner), here are some general guidelines:
- Find out who to ask for recommendations from: relatives and friends, or other health-care professionals. Whenever you call a physical therapy facility to schedule an appointment, inquire about the physical therapists’ previous expertise in assisting clients who have fractured an ankle. Ensure that you are prepared to discuss your symptoms in as much detail as possible, as well as what makes your symptoms worse
Find a Physical Therapist in Your Area!
Is this content helpful?
Thank you very much. Your feedback has been forwarded to the appropriate party. The American Physical Therapy Association believes that consumers should have access to information that can assist them in making health-care decisions, as well as information that can prepare them for their visit with their health-care professional. In the following articles, you will find some of the most up-to-date scientific information on the topic of physical therapy treatment for ankle fractures. The papers present the results of recent research and provide an overview of the standards of practice in the United States as well as in other countries.
- Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C A review of the examination and treatment options for ankle joint fractures German Medical Journal International 2014; 111(21):377–388.
- The Centers for Disease Control and Prevention is an acronym that stands for the Centers for Disease Control and Prevention.
- The most recent update was made on December 30, 2014.
- Svoboda, and J.P.
- Detection and treatment of an isolated posterior malleolar fracture in a young female military cadet: a resident-authored case report International Journal of Sports Physical Therapy, 2012;7(2):167–172.
- PubMed contains millions of citations to biomedical literature, including citations to articles in the MEDLINE database maintained by the National Library of Medicine.
Guide is the type of content you’re looking for. Ankle Fracture is one of the most common conditions. Mary Kay Zane, PT, board-certified clinical expert in orthopaedic physical therapy, is the author(s) of this article. Expert Reviewer (s) The editorial board has made a decision.
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The result was a fall that resulted in an ankle twist, which resulted in your foot swelling like a balloon. You discover that you have an ankle fracture and are forced to spend the next 4-6 weeks in a cast. After some time has passed, you see the doctor, who declares that the bone has healed and that you are ready to depart. The cast is removed, but it soon becomes apparent that your calf has become shriveled and little in comparison to the other side. Furthermore, it aches to move your foot, your ankle feels weak, and you cannot even put weight on your foot.
In this post, we will go over precisely what an ankle fracture is, as well as some terrific exercises that you can do to jump-start your recovery once your cast is off.
What Is An Ankle Fracture?
A fractured ankle, also known as an ankle fracture, is often caused by a break in the distal fibula or tibia bone at the ankle joint, which are the bones that are positioned on the outside and inside of the lower leg, respectively, at the ankle joint. Ankle fractures are most commonly caused by falls that include twisting of the foot, awkward landings, and contact sports injuries, among other things. There are many different types of ankle fractures, ranging from a simple medial or lateral malleolus fracture to an ankle dislocation with a bi/trimalleolar fracture and everything in between.
Learn How To Improve Ankle Mobility After A Fracture!
Perhaps you came across this post because you’ve recently sprained your ankle and are debating whether or not you should seek medical assistance. That is to say, you’ve arrived to the correct location! Because this is such an excellent topic, researchers decided to find out who should and who should not undergo x-rays in order to save money for the health-care system. The Ottawa Ankle Rules came to the following conclusions about ankle x-ray screening questions.
- Can you walk four steps (it’s acceptable if you have to limp a little)? NO? –Ask for an X-ray
- What is the source of your ankle tenderness/pain? Is it near your medial or lateral malleoli (the little bone bumps on each side of your ankle)? I’m talking about the rear of the bones, specifically. YES? –Ask for an X-ray
In regards to whether or not you may have a bone fracture in your foot.
- Having soreness or pain near the base of your fifth metatarsal (a hump on the lateral/outside region of your foot, midway between the heel and the little toe)? YES? –Ask for an X-ray
- Tenderness or soreness around the navicular bone (a lump on the medial/inside region of your foot) are you experiencing? YES, HAVE AN X-RAY DONE
READ:DO I NEED AN X-RAY AFTER AN ANKLE SPRAIN?
It’s a pain to be restricted to a cast for 4-6 weeks at a time. However, this does not imply that you should be absolutely inactive. No one is forcing you to lift weights and run on cardio equipment with only one leg, but don’t just sit on your buttocks on the sofa for a month either. Technically, you may continue to do upper-body workouts and even train your second leg if you want to. Furthermore, our kinetic chain, which includes the joints, muscles, and body areas above our foot/ankle, has an impact on our foot/ankle!
It is possible to improve post-operative results by exercising some proximal musculature and joints, such as our knees and hips, for example.
Exercises After An Ankle Fracture: Stay Strong In A Boot!
If you simply train one leg, there is a prevalent fear that you will be lop-sided and produce asymmetries/imbalances in your body.
That is just incorrect! If anything, exercising your other leg can result in something known as the crossover effect, which can aid in the preservation of the size and strength of your other leg! This is a very important component of what to do after suffering an ankle fracture.
So I Got My Cast Off After My Ankle Fracture, Now What?
Getting your cast removed might seem like the most wonderful day of your life. Your calf and ankle, on the other hand, may not be the most attractive aspect; it may appear particularly slender due to dead skin. The worst case scenario is that your foot is swollen and extremely painful. Never fear, we’ll show you how to get your ankle and foot working again so that you can get back to doing what you love as soon as possible! In terms of your skin, take a well-deserved bath or shower and use lotion to hydrate and nurture your skin.
- Because the ankle is a distal joint, it is more susceptible to swelling that lasts for an extended period of time.
- The most essential thing is to keep moving as soon as possible after surgery to fight post-operative edema.
- We’ll go through this in more detail below, starting with a classic exercise: ankle pumps, preferably raised.
- This podcast is jam-packed with useful information on the lymphatic system, including how edema may arise and what you can do to mitigate the harmful effects of swelling!
LISTEN:LIVING WELL WITH LYMPHEDEMA
If you have recently fractured or hurt your ankle, we offer the ideal program to help you get back to 100 percent quickly and safely! The FootAnkleRehab Program is a step-by-step program established by a physical therapist that teaches you how to improve the health of your foot and ankle joints. You will be exposed to a variety of footankle strengthening and stability exercises that are backed by scientific evidence during this three-phase program. This curriculum will prepare the people of this region for everything that life may throw at them!
What To Do After An Ankle Fracture: Range Of Motion Exercises
Ankle fractures that are not difficult are treated with modest range of motion exercises in every direction. This is exactly what your ankle desires and requires. Following are a number of videos that will assist you in getting your ankle working again, including some excellent exercises after an ankle fracture!
Exercises for Ankle Fracture Rehabilitation Program The use of ankle pumps, as previously described, is an excellent exercise to begin shortly after injury to minimize edema and enhance early range of motion. Mike is using a plinth to elevate his leg in this video; however, you can elevate your leg at home by placing cushions below your foot!
Exercises for Ankle Fracture Rehabilitation Program As a result of this activity, you will not have the complete range of motion that you used to have immediately after surgery. Don’t let this discourage you! What matters is that compensations are avoided as early as possible. For example, while attempting to conduct active inversion and eversion of the foot/ankle complex, one common compensation we notice is that patients will rotate their hip joint into internal and external rotation.
Concentrate on JUST utilizing your foot/ankle joints and avoiding compensating movements up the chain to achieve maximum results. Do not be concerned, movement will occur in due course!
Exercises for Ankle Fracture Rehabilitation Program After being immobilized in a cast and boot for an extended length of time, the calf complex typically gets tight.
Exercises for Ankle Fracture Rehabilitation Program
The following is an example of an ankle fracture rehabilitation program.
Others ankle fractures heal more slowly than others, and some require more time to heal completely. If you have a complex fracture, it may take a long time, maybe even a year, for your ankle to feel completely normal again, just as it was before the accident occurred. You may learn more about the fundamentals of tissue healing by clicking HERE! A good example of this is the ability to support your entire weight via your foot and ankle in a variety of situations while maintaining ankle mobility, strength, balance, and overall stability.
When you initially begin performing exercises following an ankle fracture, you may put some of the principles you’ve learned here into practice.
More information on what to expect in PT may be found by clickinghere.
Rehab Your Ankles To Avoid Injury!
There are 12 steps to the FootAnkle Prehab Program that will guide you through the process of reducing pain and improving footankle function. Your footankle will be strengthened by bulletproofing your entire leg, and your fitness performance and progress will be enhanced as a result of this instruction. More information may be found HERE.
- A systematic study on the accuracy of the Ottawa ankle rules to exclude fractures of the ankle and mid-foot. Bachmann LM, Kolb E, Koller MT, Steurer J, ter Riet G. Accuracy of the Ottawa ankle rules to exclude fractures of the ankle and mid-foot. The British Medical Journal, 2003
Disclaimer – The content here is designed for informationeducation purposes only and is not intended for medical advice.
There is just one comment. As many NBA fans are aware, Gordon Hayward, the star guard of the Boston Celtics, suffered a significant injury during the opening game of the 2017-2018 season. In the first five minutes and fifteen seconds of the season’s opening game, Gordon suffered an ankle fracture. Gordon has recovered satisfactorily after surgery to stabilize his broken tibia and dislocated ankle. He is now on the path to rehabilitation, which will entail many hours of physical therapy in the hopes of resuming his professional basketball career.
- Read on for more information.
- Fracture: Which is better?
- Most people are taken aback when they learn that they are one and the same.
- Fractures are classified into several categories.
- Ligaments, tendons, and muscles surround these bones and help to provide stability and function to the lower leg as a whole.
- The degree of the fracture and the number of bones involved in the injury determine the categorization of the fracture.
- A medial malleolar fracture occurs when the bony prominence on the inside of the ankle is fractured, whereas a bimalleolar fracture occurs when the bony prominences on the inside and outside of the ankle are fractured.
Conservative Treatment The degree and severity of the damage determine whether a fracture should be treated surgically or with non-surgical methods such as immobilization.
In contrast, an unstable or complicated fracture of the ankle would almost certainly need surgical stabilization prior to beginning physical therapy treatments.
As a result of Ankle Fractures Physical therapy is begin after a fracture is declared healed, regardless of whether or not the fracture was repaired surgically.
1 Individual patient timelines will vary, but traditional physical therapy for an ankle fracture will generally begin with modest range of motion exercises, gait training, and strengthening exercises to help the patient regain mobility.
2A gradual return to regular activities normally begins around the 6-8 week mark, and a full return to activities is often permitted in the 3-6 month period when the injury has healed completely.
You don’t have to be the next NBA superstar to get the benefits of physical therapy, which is one of the most appealing aspects of it.
If you are suffering from an injury or experiencing strange aches and pains, book an appointment at an Athletico clinic near you so that we can help you feel better and return to your sport.
Athletico bloggers are licensed professionals who adhere to the code of ethics provided by their individual professional bodies in order to practice their job.
The material contained in this blog is offered solely for informative reasons and does not represent medical advice. It should not be relied upon for the purpose of making personal health decisions. References:
- Brotzman SB, Masnke RC, and colleagues The Application of Evidence-Based Practice in Clinical Orthopaedic Rehabilitation. This is the third edition. Elsevier Mosby & Company. Philadelphia, Pennsylvania
- K.W. Chan, B.C. Ding, and K.J. Mroczek. Leg instability in the athlete, including acute and chronic lateral ankle instability NYU School of Medicine Journal of Disciplinary Practice. 2011
- 69(1):17-26. LD Kaplan, PW Jost, N Honkamp, and colleagues Foot and ankle injuries among elite college football players are common, and their severity varies widely. Am J Orthop. 2011 Jan
- Czajka CM, Tran E, Cai AN, DiPreta JA. Am J Orthop. 2011 Jan
- Czajka CM, Tran E, Cai AN, DiPreta JA. Instability and sprains of the ankle. Medical Clinics of North America, March 2014, 98(2):313-29.
Ankle Fractures (Broken Ankle) – OrthoInfo – AAOS
An ankle “fracture” is another term used to describe a broken ankle. This indicates that one or more of the bones that make up the ankle joint have been shattered or damaged and need to be repaired. It is possible to have a broken ankle that is as basic as a break in one bone, which may not prevent you from walking, or as complicated as numerous fractures that pull your ankle out of position and may need you to not put any weight on it for several months. Simply said, the greater the number of shattered bones in the ankle, the more unstable the ankle becomes.
The ankle ligaments are responsible for holding the ankle bones and joint in place.
A rise in the incidence and severity of fractured ankles has been seen by doctors over the past 30 to 40 years, which they attribute in part to a more active and older population of “baby boomers.” The ankle joint is made up of three bones:
- Tibia is the shinbone. In the lower leg, there is a tiny bone called the fibula. Tibia, fibula, and talus are tiny bones that connect the heel bone (calcaneus) to the rest of the skeleton.
The tibia and fibula are divided into separate sections that form the ankle joint:
- The medial malleolus is a bony protrusion on the interior of the tibia. The posterior malleolus is the region of the tibia that is at the rear of the leg. Lateral malleolus – the end of the fibula on either side.
Ankle fractures are classified by the region of the bone that has been shattered, according to doctors. It is common to hear the terms lateral malleolus fracture and bimalleolar fracture used to refer to fractures near the end of the fibula, or bimalleolar fracture to refer to fractures of both the fibula and tibia. Ankle fractures affect two joints: the ankle joint and the foot joint.
- The ankle joint is the point at where the tibia, fibula, and talus come together. Joint between the tibia and fibula that is kept together by ligaments is known as the syndesmosis joint.
A number of ligaments contribute to the stability of the ankle joint.
- Injury to your ankle by twisting or rotating
- Tripping or falling
- Impact from an automobile collision
Ankle injuries must always be checked by a medical professional since a severe ankle sprain might have the same symptoms as having a fractured ankle. The following are some of the most common signs of a fractured ankle:
- Pain that is immediate and strong
- And bleeding To the touch, it feels tender
- It is not possible to put any weight on the afflicted foot. In particular, if the ankle joint is dislocated as well, there will be a deformity (“out of position”).
Medical History and Physical Examination
Following a thorough discussion of your medical history, symptoms, and the circumstances surrounding the injury, your doctor will perform a thorough examination of your ankle, foot, and lower leg.
A thorough examination of your ankle, foot, and lower leg will be performed by your doctor after you have discussed your medical history, symptoms, and the manner in which the injury happened with him or her.
If your ankle is stable, which means that the broken bone is not out of position or is only slightly out of place, you may not need to have surgery. A stress x-ray may be performed to determine whether or not the ankle is stable. The sort of therapy required may also be determined by the location of the shattered bone. Several various techniques are utilized to keep the fracture from worsening while it is healing. Starting with a high-top tennis shoe and progressing to a short leg cast. Some doctors allow patients to put weight on their leg right away, while others require them to wait six weeks before doing so.
It is possible that your fracture will require surgery if the fracture is out of position or if your ankle is in an unstable state. When undergoing this sort of operation, the bone fragments are first relocated (reduced) so that they are in their natural alignment. Using specific screws and metal plates that are connected to the bone’s exterior surface, they hold the structure together. In rare circumstances, a screw or rod inserted into the bone might be used to hold the bone pieces together while they mend and grow back together.
Fractures of the medial malleolus can develop at a variety of different levels.
Medial malleolar fractures are frequently associated with a fracture of the fibula (lateral malleolus), a fracture of the rear of the tibia (posterior malleolus), or with an injury to the ankle ligaments (medial malleolar fractures).
If the fracture is not out of position or if it is a very low fracture with very little parts, it may be possible to treat it without requiring surgical intervention. In order to determine whether the fracture and ankle are stable, a stress x-ray may be performed. A short-leg cast or a detachable brace may be used to treat the fracture as it heals. Generally, you should avoid placing any weight on your leg for roughly 6 weeks after surgery. Repeat x-rays will be required by your doctor on a regular basis to ensure that the fracture does not shift in its place.
Surgery may be indicated if the fracture is out of position or if the ankle is in an unstable condition. Even if the fracture does not appear to be out of position, surgery may be recommended in some instances. This is done in order to lessen the likelihood of the fracture not mending properly (known as a nonunion), as well as to allow you to begin moving the ankle sooner. An impaction or indenting of the ankle joint can occur as a result of a medial malleolus fracture. Impaction happens when a force is applied to a bone that it causes the end of one bone to push into the end of another bone.
- This graft serves as a framework for new bone to grow on, which may reduce the likelihood of getting arthritis in the future.
- When the tibia is fractured at the rear at the level of the ankle joint, this is referred to as a posterior malleoli fracture.
- This is due to the fact that it has ligament attachments that are shared with the posterior malleolus.
- Depending on the size of the shattered component, the rear of the ankle may become unsteady and shaky.
- Because of the possibility of developing arthritis as a result of a posterior malleolus fracture, it is critical that it is appropriately recognized and treated.
- Cartilage is the smooth surface that lines the inside of a joint’s joint capsule.
- As a result of the uneven surface, greater and unequal pressure is applied to the joint surface, causing cartilage degradation and the development of arthritis in most cases.
If the fracture is not out of position and the ankle is stable, it may be possible to treat the patient without undergoing surgery.
A brief leg cast or a detachable brace may be used to treat the condition. Patients are often instructed not to put any weight on the ankle for a period of six weeks following the injury.
The option of surgery may be considered if the fracture is out of position or if the ankle is unstable. When it comes to treating posterior malleolar fractures, there are several different surgical methods accessible. Screws can be put from the front of the ankle to the rear of the ankle, or vice versa, as an alternative to surgery. Other options include having a plate and screws put around the back of the shin bone to stabilize the joint. “Bi” is an abbreviation for two. The term “bimalleolar” refers to the fact that two of the three malleoli of the ankle are shattered.
The term “bimalleolar equivalent” fracture refers to a fracture that involves not only one of the malleoli but also the ligaments on the inner (medial) side of the ankle.
It may be necessary to do a stress test x-ray to determine whether or not the medial ligaments have been damaged.
These types of injuries are considered unstable, and surgery is frequently necessary in order to stabilize them. It may be necessary to seek nonsurgical therapy if you have serious health issues and the danger of surgery is too big, or if you do not walk on a regular basis. An ankle splint is usually applied immediately after the injury to keep the ankle immobilized while the swelling subsides. After that, a brief leg cast is put. As the swelling in the ankle diminishes, it may be necessary to replace the cast on a regular basis.
In the majority of instances, weightbearing is not permitted for six weeks.
Because these fractures make the ankle inherently unstable, surgical intervention is frequently indicated. Both lateral and medial malleolus fractures can be treated using the same surgical procedures that are described above for each of the fractures on the list. “Tri” is an abbreviation for three. Trimalleolar fractures are those in which all three malleoli of the ankle are fractured at the same time. It is important to note that these are unstable injuries that might lead to a dislocation.
These types of injuries are considered unstable, and surgery is frequently necessary in order to stabilize them.
If you have serious health issues, or if the danger of surgery is too large, or if you do not walk on a regular basis, nonsurgical therapy for bimalleolar ankle fractures may be explored. Nonsurgical therapy for bimalleolar fractures is comparable to the treatment described above.
Each fracture can be treated using the same surgical approaches that were described above for each individual fracture in the previous section. The syndesmosis joint is a hinge joint that connects the tibia and fibula. It is maintained in place by ligaments. A syndesmotic injury can be limited to a ligament, which is referred to as a high ankle sprain in this case. These injuries, depending on how unstable the ankle is, can be managed without the need for surgery. These sprains, on the other hand, require far longer to recover than a typical ankle sprain.
- These are inherently unstable injuries, and they do quite badly if they are not treated surgically.
- Given the great variety of injuries that can occur, there is also a large variety of ways in which people recover from their injuries.
- It is possible that the ligaments and tendons affected will take longer to mend.
- If surgery is not decided, this is often done more frequently during the first 6 weeks of recovery.
A natural aspect of the healing process following an accident or surgery is the sensation of discomfort. Your doctor and nurses will attempt to alleviate your discomfort, which will allow you to recover more quickly. Following surgery or an injury, medications are frequently administered to provide short-term pain relief. Opioids, non-steroidal anti-inflammatory drugs (NSAIDs), and local anesthetics are just a few of the medications that are available to assist control pain. It is possible that your doctor will prescribe a mix of these drugs in order to increase pain relief while also reducing the need for opioids.
When using opioids, it is critical to follow the directions of your doctor.
If your pain does not begin to subside after a few days of starting therapy, consult your doctor immediately.
Regardless of the method used to repair an ankle fracture, rehabilitation is extremely crucial. Physical therapy and home exercise regimens are extremely crucial once your doctor has given you the green light to begin moving your ankle. The most important thing is to exercise on a regular basis. Eventually, you will begin to incorporate strengthening workouts into your routine.
Many months may pass before the muscles in and around your ankle are sufficiently strong enough to allow you to walk without using your limp and return to your usual activities. Exercises, once again, are only effective if you put forth the effort to complete them.
Depending on the type of fracture you have, you will be able to begin placing weight on your ankle. When your doctor determines that your injury is stable enough to enable you to begin placing weight on your ankle, you will be given permission to do so. It is critical that you do not put any weight on your ankle until your doctor has cleared you to do so. It is possible that the fracture pieces will migrate if you put weight on the wounded ankle too soon, or that the operation will fail and you will have to start over.
Depending on the severity of the damage, it is extremely typical to have multiple different types of products to wear on the wounded ankle at the same time. Most ankle fractures are initially treated with a splint, which serves to preserve the ankle while also allowing the swelling to subside. Following that, you may be required to wear a cast or a detachable brace. In certain cases, even after the fracture has healed, your doctor may recommend that you continue to wear an ankle brace for many months while participating in sports activities.
These risks include issues with wound healing and infection.
There is a danger that the fracture will shift out of position before it has had a chance to heal without surgery. Because of this, it is essential that you follow up with your doctor on a regular basis. It is referred to as a “malunion” when the fracture pieces shift out of place and the bones heal in that posture. The extent to which the bones are misaligned and the degree to which the ankle joint’s stability has been compromised dictate the appropriate course of treatment. It’s possible that a malunion could occur, or that your ankle will become unstable when it heals, and that this will eventually result in arthritis in your ankle.
The following are examples of general surgical risks:
- The following symptoms may occur: infection, bleeding, and pain
- Blood clots in your leg
- Damage to blood vessels, tendons, or nerves
The risks associated with surgical treatment of ankle fractures include the following:
- The inability to mend bone, arthritis, and pain associated with the plates and screws that were utilized to repair the fracture. It is common for patients to request that they be removed many months after their fracture has healed.
Despite the fact that the majority of individuals return to their usual daily activities, with the exception of sports, within 3 to 4 months, studies have shown that people might still be recuperating from ankle fractures for up to 2 years after the injury. It might take many months for you to be able to walk without limping and for you to be able to return to sports at your prior competitive level. The majority of people are able to return to driving within 9 to 12 weeks of their injury.
- As soon as I am able to start placing weight on my leg, I will. For how long will I be unable to work
- Is there anything in particular I’m worried about if I don’t perform well? What are the hazards of having surgery if I have to have it
- Do I have brittle bones?