Ankle Fractures

The ankle is the most frequently injured weight-bearing joint. Ankle fractures are one of the most common of all fractures. They can vary in severity, which also dictates the type of treatment needed. Treatment ranges from immobilization to surgical options involving hardware to hold the fractures in place.

Ankle Fractures: What is it?

A fracture is a break in the bone. These can range from a crack that is not moved out of place to significantly displaced fractures that pierce the skin. Some of these fractures also involve a dislocation, where the joint is moved out of place. There are multiple bones around the ankle that can be broken. The most common fractures are to the tibia (shin bone) and the fibula. These are the bumps on the inside and outside of the ankle. Fractures are commonly caused by twisting injuries and falls. Other bones, like the talus or calcaneus can sometimes be called ankle fractures.

Symptoms: What does Ankle Fractures feel like?

Pain
Swelling
Bruising
Deformity
Difficulty or inability to bear weight

Causes

Twisting injuries – Stepping wrong or slipping on ice
Falls – Falling or jumping down from objects
Car accidents – Higher energy and crushing type injuries

$Basketball ankle fracture$

Risk Factors

High – impact sports
External conditions – snow, ice, mud, uneven ground
Certain occupations – working at heights or unpredictable environments
Cluttered or poorly lit environment
Certain medical conditions – Anything causing balance issues, osteoporosis

Complications

Arthritis – can develops long after the fracture
Bone infection – open fractures(bone comes through the skin)
Nerve or blood vessel damage – can occur if fractures displace and either cut or tear adjacent structures

Prevention

Wearing proper shoes for your activity
Build bone strength – Taking vitamin D and calcium, weight training
Decluttering your environment

Evaluation: How are Ankle Fractures diagnosed?

History and physical exam – movement of the foot and ankle, finding points of tenderness

Imaging

X-rays – multiple views, most fractures can be seen on X-rays
CT scan – 3 dimensional view, helps with subtle or complex fracture patterns
MRI – Helpful showing ligaments, bone bruises and some subtle fractures

Treatment

Treatment is based on which bone or bones are broken and the severity of the injury.

Reduction

If the bones are not aligned or the joint is displaced, they will need to be realigned. This sometimes happens in the clinic setting, sometimes in the operating room (with or without surgical fixation).

Immobilization

Holding the fracture still with a cast or CAM boot.

Surgery

Holding the fracture still with a cast or CAM boot.

Protected or non-weight bearing

Risks

Infection
Nerve or blood vessel injury
Blood clots
Failure of bones to heal – higher risk with more severe injuries, smokers and with certain medical conditions
Arthritis

Recovery: What Can Be Expected?

Used with surgical or non-surgical treatment
Working on regaining normal function

Frequently asked questions about Ankle Fractures

How long will I be non-weight bearing? Immobilized?

Generally 6-8 weeks, sometimes longer with more severe or complex injuries
Immobilization is usually a splint (half cast) initially followed by a removable boot

Do I need to have my hardware removed?

Generally the hardware is left in place unless there is a reason to remove it
Some hardware is meant to be temporary and is scheduled to be removed
Hardware can be removed if it is bothersome (Generally after 6 months)

Do I need a card that explains my hardware for travel?

No. The TSA screeners can sort this out without a card. A printed card will not expedite the process.

What material is the hardware?

Generally stainless steel or titanium

Physicians

The following physicians specialize in the treatment of Ankle Fractures:

Gregory M. Neely, MD

Eric S. Watson, MD

Gregory F. Alvine, MD

Dustin P. Collins, MD

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Testimonials

I went to Dr. Watson with a lot of foot pain. He guided me through the process of healing. His office is connected with great physical therapists that were able to assist me in buying the correct shoes and orthotics. They made a great team in helping me walk comfortably again. I was happy to avoid surgery.

I had similar surgery on my other ankle several years ago with another doctor so I was hesitant going into this surgery but this went a 100 times better. Very pleased so far with the results and he and his whole staff are outstanding.

I broke my lower leg bone in my ankle on Saturday, Dr. Watson was able to see me on the following Monday. I had my surgery the next day. I have been more than happy with Dr. Watson and his staff. I was able to have open discussions about what to expect and how the treatment will go. I have nothing but positive testimonials for the service I’ve received. I highly recommend Dr. Watson and his staff. Top notch!