Ankle Fracture

Ankle fractures are one of the most common injuries, affecting people of all ages and activity levels. Whether from a sudden fall, an awkward step, or a sports-related incident, an ankle fracture can happen in an instant. If you’ve recently suffered an ankle injury or suspect you have a fracture, understanding the causes, symptoms, and treatment options can help guide your recovery.

What is an Ankle Fracture?

ankle fracture
Ankle fracture on x-ray.

An ankle fracture occurs when one or more of the bones in the ankle joint break. The ankle joint is made up of three bones: the tibia (shinbone), fibula (the smaller bone next to the tibia), and talus (the bone that connects the leg to the foot).

A fracture can happen to any of these bones, or to the surrounding ligaments and tendons.

Depending on the severity of the break, an ankle fracture can range from a minor hairline fracture to a more complex, displaced fracture where the bones are out of alignment.

Causes of Ankle Fractures

Ankle fractures can happen for a variety of reasons, but the most common causes include:

  1. Trauma or Impact
  2. Sports Injuries
  3. Twisting or Rolling the Ankle
  4. Osteoporosis or Weak Bones

Symptoms of an Ankle Fracture

The symptoms of an ankle fracture can vary depending on the location and severity of the break. Common signs of an ankle fracture include:

  • Severe Pain: Pain is typically immediate and sharp, especially when you try to move or put weight on the ankle.
  • Swelling and Bruising: The ankle may swell quickly and appear bruised or discolored, depending on the extent of the injury.
  • Deformity: In more severe cases, you may notice a visible deformity, such as the ankle looking out of alignment or the bones protruding from the skin.
  • Inability to Bear Weight: It may be difficult or impossible to walk or stand on the affected ankle due to pain and instability.
  • Tenderness: The ankle may be very tender to the touch, especially around the bone or joint.

If you experience any of these symptoms after an ankle injury, it’s important to seek medical attention right away.

Treatment Options for Ankle Fractures

Treatment for an ankle fracture depends on the type, location, and severity of the fracture. There are both non-surgical and surgical options available.

Non-Surgical Treatment

For fractures that are not displaced (where the bones remain aligned), conservative treatment may be sufficient:

  1. Rest and Elevation
  2. Ice
  3. Splinting or Casting
  4. Pain Management
  5. Physical Therapy

Surgical Treatment

ankle fracture
ORIF of an ankle fracture.

If the ankle fracture is severe, displaced, or involves multiple fractures, surgery may be necessary to realign the bones and ensure proper healing. Surgical options include:

  1. Open Reduction and Internal Fixation (ORIF): This is the most common surgical procedure for an ankle fracture. During ORIF, the surgeon will make an incision to realign the fractured bones and use screws, plates, or rods to hold them in place while they heal.
  2. External Fixation: In some cases, an external frame may be used to stabilize the ankle while the bones heal, particularly in complex fractures or when skin is damaged.

Surgery is typically followed by a period of immobilization, followed by rehabilitation to regain strength and mobility in the ankle.

Before and after x-rays of an ankle fracture treated with ORIF.

Recovery and Outlook

The recovery time for an ankle fracture depends on the severity of the injury and the type of treatment required. Non-surgical fractures usually take 6 to 8 weeks to heal, though it can take several months to fully recover and regain strength in the ankle. If surgery is required, the recovery process may take longer, typically 8 to 12 weeks or more, and may require physical therapy to restore function and prevent long-term complications.

Conclusion

Ankle fractures are common injuries that can cause significant pain and disrupt your daily activities. However, with prompt diagnosis and appropriate treatment, most people recover fully and return to their normal routines. Whether your fracture is treated conservatively or requires surgery, following your doctor’s instructions and committing to rehabilitation is key to a successful recovery. If you’ve suffered an ankle injury, contact our office today!

Frequently Asked Questions

How is an ankle fracture diagnosed?

Typically order an X-ray to confirm the fracture and assess its severity. In some cases, a CT scan or MRI may be used for a more detailed image.

Can I walk on an ankle fracture?

Initially, you may be advised not to walk on the ankle to avoid further damage. After some healing, our doctors may allow partial weight-bearing with the help of crutches or a boot.

Will I need physical therapy after an ankle fracture?

Typically physical therapy is recommended to regain strength and range of motion of the ankle.

After surgery, will I have to have the plates and screws removed?

Generally, they are kept in place. The decision is made on a case-by-case basis. Learn more by talking with one of our doctors.

What happens if I ignore an ankle fracture?

Untreated fractures can heal wrong, leading to chronic pain, arthritis, or instability. Don’t tough it out—contact our office for evaluation.


Have additional questions?

Schedule an appointment with one of our doctors

or call (760)-642-7009.

Providers:


Dr. Keenan Carriero, DPM

Dr. Keenan Carriero, DPM

Foot and Ankle Surgery, Podiatrist

Dr. Zachary Kramer, DPM

Dr. Zachary Kramer, DPM

Foot and Ankle Surgery, Podiatrist

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9:00 am – 5:00 pm
Tuesday
9:00 am – 5:00 pm
Wednesday
9:00 am – 5:00 pm
Thursday
9:00 am – 5:00 pm
Friday
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Saturday
Closed
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