For the first couple of weeks, patients are in a splint and are elevating the limb 90% of the day. 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. Use the removable walking cast for all weight bearing activities as long as you doctor designates. Hold the stretch for a five-count and do 5 repetitions. You may also elect to rent a knee scooter/caddy to assist you during this period of restricted mobility. 5.7k views Reviewed >2 years ago. An ankle brace should be used to facilitate the process. This allows patients to start moving the ankle and to shower. Medial malleolus is a part of ankle joint and ankle fracture is common with incidence of 174 cases per 100,000 adults per year. Osteochondral defect (OCD): Fractures and sprains in the ankle region cause damage to cartilage and bone in the area leading to OCD. Ankle Fracture Rehab Protocol. Try to avoid playing or running on uneven surfaces. This boot should be worn at all times for at least a month, even to sleep. The fibula helps stabilize and support your leg, body, ankle, and leg muscles. Non-Union Ankle Fracture Surgery. For OCD patients, arthroscopic surgery involves scraping away the damaged cartilage . It seemed to be a very busy day. During an ORIF, the pieces of your bone are repositioned so that they are properly aligned and then physically reconnected, usually involving screws, rods, plates or even surgical nails. This decision is usually made at the time of surgery. No matter what method is used to treat the break, the bone takes the same amount of time to heal, usually 6-10 weeks. Stretch the Achilles by placing a towel across the ball of your foot and pulling up. This is not intended to substitute clinical decision making regarding the patient's proper progression based on evaluation findings . Displaced - Fractured portions of bone are separated or misaligned. Conclusions. Rebecca took the time to listen to all of my issues and discuss a plan for additional treatment. 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. 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. Nondisplaced Bones are broken but still in correct position and alignment. Dr Goodin has replaced both of my knees this year with excellent results. In still others, there may be other factors involved in making the decision to operate or not. The purpose of the study is to compare functional outcomes and recovery following surgical and non surgical treatment of potentially unstable , isolated fibula fractures. 2 thanks. Recovery time for a tibia fracture typically takes 4-6 months to heal completely. This is crucial to have a successful ankle fracture recovery. Ankle fractures typically take 10-12 weeks to fully heal. When the avulsion fracture occurs, immediately wrap your ankle with a compression wrap or elastic bandage. 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. By comparison, a delayed union fracture does eventually heal, but it takes much longer than is typical. Trimalleolar fracture is a specific injury in the ankle, where three areas known as the malleoli break simultaneously. Read thebelow articles fordiscussions onpediatric ankle fractures and stress fractures. He treats both adolescents and adults with a special focus on sports-related injuries, including ankle instability, cartilage lesions, and Achilles tendon injuries. While it heals, support may be rendered by wearing a high-top tennis shoe, or a short leg cast. Hes good at what he does and hes compassionate. Ankle Fracture: General Facts. The hardware is generally left in place even after your ankle has healed and is only removed if it causes problems. Typically these injuries are treated with a plate and screw construct, which supports the bone until it heals. The main concerns are that it could cause a nonunion or a delayed union. Because our surgeons are affiliated with five local hospitals and outpatient surgery centers, our patients have a choice of where theyd like to go. 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. 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. Be sure youre using appropriate and well-fitting shoes. Keywords: Clinical outcomes, Malunited ankles, Reconstruction operation. The vital signs such as heart rate and blood pressure are monitored continually during the operation by a relevant specialist. This helps ensure that the bones will heal in their proper alignment, which is a key part of ankle fracture recovery. Screws and thin strips of strong metal can be used to put the bone back together which allows the fracture the fastest and best chance of healing. 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. Goals. So glad A friend told me to come see you guys! 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. Posterior Malleolus Fractures Thank you! Call 678-506-7132 or complete our online appointment request form. Elevation Keeping your injured ankle above your heart will help drain excess blood from the injury and reduce swelling as you recover. 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). A fractured ankle can range from: A simple break in one bone, which may not stop you from walking, to. Broken Ankle? I would highly recommend Dr. Yakkanti to anyone thinking about knee replacement! 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. Shower boot or saran wrap with showers until closed. 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. Some ankle fractures are stable, or only involve a 'chip' of bone. You may apply ice pack behind your knee for 30 minutes, several times per day for the first two weeks. Numerous surgical procedures treat foot and ankle conditions. Certain mild ankle breaks (stable and with no displacement) can be treated nonsurgically with a splint, short leg cast, or other protective device such as a walking boot Some patients may be able to walk immediately while wearing a support while others may have to use crutches to limit weightbearing. 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). The tibia ends with two bony prominences, the medial (inside) malleolus and the posterior (in the back) malleolus. Symptoms include bruising or discoloration as well as pain that spreads up from the foot. If a non-removable cast is recommended, the doctor may or may not allow weight bearing. She was very thorough and extremely friendly. The fibula forms the lateral (outside) malleolus. Safe non weight bearing crutches /knee-walker. 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. 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. How Delaying Knee Pain Treatment Can Impact Overall Health. This situation is known as a bimalleolar ankle fracture. The orthopedic surgeons at Southwest Orthopedic Group can diagnose ankle fractures on x . The deltoid ligament is found on the inner part of the ankle and provides the majority of the stability of the ankle. It is possible for these factors to severely slow the bone healing process or even result in non-healing of your fracture: 1. Three week versus six week immobilisation for stable Weber B type ankle fractures: randomised, multicentre, non . While nonunions can occur in any bone, they are most common in the tibia, humerus, talus, and fifth metatarsal bone. Leg Elevation and Boot Care. Distal fibula fractures are the most common type at the ankle and are usually the result of an . While each individual case is different, in general, it can take four to eight weeks for your ankle fracture to heal. The best way to do that is to avoid injuries if it is at all possible. While some surgeons use screws that require a second surgery for removal, this newer technique utilizing a suture button requires no further procedures. The treatment will be based on fracture alignment and stability of the ankle. Request an appointment 617-724-9338 Explore our center Infection Wound healing problems Nerve injury Deep vein thrombosis (DVT) Pulmonary embolism Non-union Malunion Contact us Have questions about unstable ankle fractures? They are also common in the navicular bone, which is separate from the ankle, but lies directly beneath the talus. If concern of wound, please take a picture and call Dr. Vora's office. On occasion the ligament holding the two main bones of the ankle can be disrupted. Any pain will usually be more intense if the injured person tries to put weight on the ankle. Ankle arthroscopy can help locate and remove the loose bodies. At the Emory Orthopaedics & Spine Center, our orthopedic specialists are experts at diagnosing and treating foot and ankle injuries. In fact, whenever possible, non-surgical treatment is preferrable. Find an Orange County Foot & Ankle Specialist Today. New bone cells then form and grow on both sides of the fracture, eventually closing it. X-ray image showing front view of a bimalleolar fracture, X-ray image showing side view of a displaced lateral malleolus fracture of the right ankle. I have recovered nicely and plan to have my other knee replaced within the next year. There are many varieties of ankle fracture that can occur. Nonsurgical treatment may be an option when the break is minor, the bones are in alignment, and the ankle is stable. Carly and Dr Goodin both have GREAT bedside manner and I feel I am in expert care with them. 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. You will remain immobilized in the walking boot until 4 weeks post-injury. Because the ankle joint comprises three bones, there are numerous types of ankle fractures. 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. 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. Other ankle fractures involve multiple parts of the ankle or also have ligament damage, and these often require surgery. Stable fractures treated without surgery can often be safe for immediate protected (in a boot) weight bearing. 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). Complicated fractures require additional recovery and healing time. If there is no displacement, you might have a splint placed on your lower leg. The goal is to protect the fractured bone while it heals. 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. 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. These are called stress fractures. Typical ankle fractures involve injury to one or more of these structures. On rare occasions some medial malleolar fractures still require a plate. Postoperative large talar tilt and advanced stages of ankle arthritis are the risk factors for the surgery. That means we will only consider surgery if it is absolutely necessary. Nonsurgical Treatment Some nonunions can be treated nonsurgically. The surgery is performed by an orthopedic surgeon. As the number of fracture lines increase, so does the risk of long-term joint damage. Electronic and Ultrasonic Bone Stimulation Our surgeons perform complex non-union surgical repair with vascularized bone grafting. Tendon vs. Ligament What Is the Difference? If the imaging shows that a person has a fractured ankle, he or she should consult an orthopedic surgeon as soon as possible. Dr. Mark Reed is a board-certified orthopedic surgeon providing specialty care of all foot and ankle disorders. Overview. Need to aska question, email your doctor, search our Phone Directory, talk to a pharmacist or advice nurse, get the information you need. If you had to have surgery,it could take up to several months. The goals of non-surgical management of ankle fractures are: 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 Risks/Complications Treatment Typical home care advice Work & Recovery Management Additional Resources The faster the swelling subsides, the faster is the recovery. But when ankles are badly broken, deformed, unstable or cause constant pain, surgery may be the only answer. advice? If your ankle has been fractured and you do not get medical attention, it can lead to long-term consequences. 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. Doctors will often treat this type of fracture with surgery. . 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. 2409 North 45th Street, Seattle, WA 98103, 5350 Tallman Ave NW Ste 500, Seattle, WA 98107, Non-operative Treatment of an Ankle Fracture. The splint allows enough flexibility for swelling in a safe manner while keeping movement down to a minimum. Doctors at NYU Langone's Bone Healing Centeroffer bone stimulation techniques and medication to speed healing and relieve pain. 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. . Failure to get timely treatment could cause foot deformities that can interfere with walking, running or even completing daily tasks. Many falls occur in the home, so try to eliminate clutter that may cause you to stumble. 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. He treats both adolescents and adults with a special focus on sports-related injuries, including ankle instability, cartilage lesions, and Achilles tendon injuries. A cast or walking boot can help stabilize your foot while keeping the rest of your body aligned. Ankle fracture surgery is usually completed without an overnight hospital stay, unless a medical comorbidity requires additional observation. 2. Complications of ankle fractures include malunion, non-union, stiffness, and wound breakdown. Follow the weight bearing recommendations of the doctor. As orthopedic specialists, we want to help you maintain your active lifestyle in the safest way possible. Initially, there can be pain and swelling that is controlled with medication and elevation of the ankle. Medial malleolus is a part of ankle joint and lower end of the lower leg bone known as tibia. When ligaments are torn and associated with an ankle fracture, this damage can render the ankle unstable. The doctor will recommend either, a non-removable cast, or removable walking cast depending on the inherent stability and risk level of the fracture. Patients are placed on a pain management protocol that minimizes their need for opioid medications. Contact Us, Advice Nurses are available 24 hours a day, 7 days a week. But they can also be caused by a high-force impact, such as from a fall or automobile collision. Surgery is either done right after the injury, or 1 to 2 weeks after the injury. 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. Your doctor will often prescribe medications for pain-relief for a short period of time after the injury or surgery. Within each of the above types, the fracture will be either: There are some additional, unique types of fractures. A nonunion occurs when the broken bone fails to heal. Fractures that are inside a joint also require surgery to help minimize the likelihood of arthritis in the future. 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. 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. However, recovery takes much longer. 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. Assuming the bone is healed well, patients are then allowed to start weightbearing and to begin physical therapy. 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. The way in which the bone breaks defines . After the fractures are stabilized with screws and/or plates, the syndesmosis is tested for stability. Ankle fractures should always be evaluated by appropriate medical personnel to maximize healing of an ankle fracture while optimizing full recovery . . ), because they can interfere with bone healing. A malalignment of as little as two millimeters in the ankle joint can lead to arthritis. 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. At 4 weeks post-injury, you will gradually transition to regular shoes. But a bone in the ankle can also break due to repetitive stress or impact over time. 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. Non-surgical treatment when the ankle is stable can consist of several supportive elements. They are commonly injured in the case of ankle sprains. The steps involved are as follows; The patient is put under general anesthesia. Nonsurgical treatment is also recommended for adults with poor overall health, fragile or chronically infected skin and less active patients. Keep the cast dry and intact until your follow-up appointment. Non displaced ankle fracture A 34-year-old female asked: Non displaced fracture, ankle w/ space in fibula. 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. Treatments include wearing a walking boot and icing, with surgery for more serious cases. After surgery, patients are typically not weightbearing for 4 to 6 weeks until the bone heals. The main concerns are that it could cause a nonunion or a delayed union. Ankle fractures happen with twisting of the ankle, falls, car accidents, or other injury. 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. Ankle fractures can be displaced (out of place) or non-displaced. The procedure usually takes a few hours. The walking boot is in place to protect rather than immobilize the fracture. The doctor may allow you to discontinue crutches as soon as you feel up to it. Isolated medial malleolus fractures are rare. 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. Lateral Malleolus Fractures One, two, or all three malleoli can be broken. They can also be injured in connection with ankle fractures. There is a cushion or lining between the bones, which is called cartilage. The body begins healing itself by forming a blood clot around the injury. I would recommend him to anyone. 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. If this happens, your doctor may need to perform a non-surgical procedure known as closed reduction. He is an excellent surgeon with a great bedside manner. Avoid anti-inflammatory medications (such as ibuprofen, naproxen, aspirin, Advil, Aleve, etc. The Accident I was at the Bill Putnam (Fairy Meadows) Hut in British Columbia, Canada on a guided ski trip. Non-weight bearing is absolute no weight of the healing leg. Appointments 216.444.2606 Appointments & Locations Request an Appointment Procedure Details Risks / Benefits Sometimes, should the fracture shift too much, it may require surgery. What causes a stress fracture in the ankle? What is the recovery time of a broken ankle? Dr. Kenny Chuu and another doctor agree. People should . However, the medial malleolus is typically treated with screws alone. Patients will generally have six weeks of therapy or more if required. 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. 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. If you smoke, stop it can interfere with bone healing. 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. Usually, bones start rebuilding immediately after a doctor has aligned the bone fragments and stabilized them into place. Some injuries even allow for immediate weight bearing. 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. What is ankle fracture open reduction and internal fixation? Once you have returned to regular shoes, you may gradually ramp up your activities in a step-wise manner as tolerated. If surgery is needed, one of the most common procedures to help a fractured ankle is an open reduction and internal fixation (ORIF). Doctor Lewis is my surgeon and I love him. Orthopaedic Trauma & Fracture Care specialists will make this decision based on the extent of the injury, the patient's overall health, and how well the fracture can be expected to heal without surgery. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. 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. An ankle stress fracture usually occurs some time after a person begins a new activity that involves significant impact of the foot, such as hiking, running or field sports. Mark Reed, MD It is a break of the lateral malleolus, the knobby bump on the outside of the ankle (in the lower portion of the fibula). 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. Ligaments connect bone to bone to provide stability of the joints. Isolated lateral malleolar fractures can be treated with or without surgery, depending on their location and placement. The New Albany office of Louisville Orthopedic is full of terrific people who know what excellent customer service is about! 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. 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. The most controversial ankle fracture is the . Symptoms of an ankle fracture include pain especially with weight bearing, swelling, bruising, and problems with ankle motion. Consider removing throw rugs or other similar items that can create a tripping hazard. Early and correct intervention is the key to preserving the ankle joint over the long term. 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. It could be helpful to use an ace wrap while sleeping and also consider using it during the day, under the removable walking cast. However, unstable fractures requiring surgery usually need at least 8 weeks of non weight bearing to allow proper healing. 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. Displaced Fractured portions of bone are separated or misaligned. Ankle fracture repair requires a general anesthesia for this procedure, and . Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. Tags. An appointment for x-rays to be taken typically occurs at about 6-8 weeks into the treatment. It is OK to remove the removable walking cast for: sleep, bathing, icing. These fractures can often be treated successfully without surgery. Home > Blog > Healthcare > Guidelines > Non-operative Treatment of an Ankle Fracture. This form of regenerative medicine uses growth factors or proteins, which some . . View all posts by Mark Reed . In some fractures, the amount of displacement (shifting) of the fracture will determine the need for surgery. Podiatry 44 years experience. Fractured ankle recovery begins once the injury has been diagnosed and initial treatment has been applied. cast removed, no boot ordered told to walk. About Mark Reed. Post Operative Course: After surgery most patients are placed into a boot with a sterile dry dressing on the ankle. For more information or to schedule an appointment, contact us today. 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. In unstable ankle fractures, the ankle joint itself is displaced or can be displaced when it is subject to normal forces. 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