![]() Mobilization: Younger and active patients may use crutches, or even a kneeling scooter for mobilization.However this could be prolonged based on the injury and the rate of healing. Weight Bearing: Most operative ankle fractures require 8 weeks of non weight bearing.Dressing: Changed daily starting on postoperative day #3 until you are seen in clinic.The only reason to take the ankle out of the boot is for range of motion exercises and dressing changes. This boot should be worn at all times for at least a month, even to sleep. Post Operative Course: After surgery most patients are placed into a boot with a sterile dry dressing on the ankle. While some surgeons use screws that require a second surgery for removal, this newer technique utilizing a “suture button” requires no further procedures. A damaged syndesmosis is treated with a strong piece of suture between the two bones. After the fractures are stabilized with screws and/or plates, the syndesmosis is tested for stability. Syndesmosis injuries occurring with a fracture can only be found after the bones are stabilized at the time of surgery. Syndesmosis injuries occurring on their own are discovered prior to surgery and require fixation. This can happen with a fracture of the ankle, but more commonly it occurs in lieu of a fracture. On occasion the ligament holding the two main bones of the ankle can be disrupted. Other times a plate is required to hold the bone and this necessitates an incision in the back of the ankle. 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. Sometimes the fractured posterior malleolus piece is too small to fix with a plate or screws, while other fractures require stabilization. Much more commonly they occur with both medial and lateral malleolar fractures, known as a Trimalleolar Ankle Fracture. Much like the medial malleolus, isolated Posterior Malleolar Fractures are extremely rare. This decision is usually made at the time of surgery. On rare occasions some medial malleolar fractures still require a plate. However, the medial malleolus is typically treated with screws alone. The lateral malleolus is treated with a plate and screws as usual. These injuries are inherently unstable and require surgical fixation. Much more commonly they occur with a lateral malleolus fracture and are known as Bimalleolar Fractures. Isolated medial malleolus fractures are rare. Typically these injuries are treated with a plate and screw construct, which supports the bone until it heals. However, unstable fractures requiring surgery usually need at least 8 weeks of non weight bearing to allow proper healing. Stable fractures treated without surgery can often be safe for immediate protected (in a boot) weight bearing. ![]() Isolated lateral malleolar fractures can be treated with or without surgery, depending on their location and placement. Lateral malleolar fractures are the most common type of ankle fracture. Some injuries require surgical stabilization to restore ankle stability while others can be treated conservatively. Typical ankle fractures involve injury to one or more of these structures. At the level of the ankle, the tibia and fibula are held together by a thick fibrous tissue known as the syndesmosis. The fibula forms the lateral (outside) malleolus. The tibia ends with two bony prominences, the medial (inside) malleolus and the posterior (in the back) malleolus. Sports Injury Urgent Care We offer same- and next-day care to patients with acute injuries.Īnatomy: The ankle is made up of two bones, the tibia (shin bone) and fibula (the bone on the outside/lateral aspect).Hip Pain Treatment The latest breakthroughs in hip surgery and conservative care are available here.Hand and Wrist We provide highly specialized treatment for complex hand and wrist conditions.Elbow and Shoulder We offer a full range of treatment options for elbow and shoulder conditions.Neck and Back Our spine experts excel in both conservative and surgical care.Ankle and Foot Our physicians are ready to help you get back on your feet.Knee We can be your first choice for knee diagnostics and knee pain treatment from all sources.Pain Management We take a unique, multidisciplinary approach to pain management.Sports Medicine Get back in the game with help from our sports medicine specialists.Orthopedic Surgery Providing the latest advances in orthopedic surgery is our specialty.Physical Therapy Our physical therapists use advanced techniques to help restore strength and mobility.X-Rays Our centers are equipped with a state-of-the-art digital X-ray machine.MRI Our patients can receive MRI imaging onsite at our Louisville clinic.
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