Ankle Conditions: Broken Ankle, what you need to know

Updated 8/21/2018
Dr. Baravarian discusses  ankle fractures, their treatment and way to avoid complications.

What's a Broken Ankle?

The ankle consists of three bones (tibia, fibula and talus) and if any are broken bones, you have what a broken ankle. If only the ligaments give way, you have an ankle sprain, which only involves the soft tissue.

 

Under-treated ankle fractures (and stress fractures) are one of the most common orthopedic injuries and have lead to an alarming increase in early onset ankle instability, arthritis and permanent range of motion issues. 

 

Getting the right diagnosis and medical advice can make all the difference in your outcome. When it comes to your ankle, it is better to be safe now, than sorry later.

Diagnosing a Broken Ankle

 

The symptoms of a broken ankle are basically the same as a sprain. Even if you cannot bear weight while walking because of severe pain, it does not tell us what is wrong. From the outside, sprains and fractures appear very similar. 

 

It is wise to always treat serious ankle injuries as if they are broken until you get your injured ankle bones x-rayed and find out otherwise. 

 

It's what is going on inside the ankle that will tell us, thus you can always expect to have an x-ray. It is also important to always have follow-up care when it is requested. You simply do not want to ignore the severity of the fracture.

 

Non-surgical Treatments for a Broken Ankle

 

Ankle fractures that don’t have gapping or angulations/rotation at the fracture site are usually treated with an ankle brace and possibly physical therapy. These usually do not require surgery. 

 

Doctors often prescribe the RICE treatment for self-care at home to help heal and alleviate ankle pain. This includes:

 

Rest

Stay off the ankle as much as possible to prevent further injury and reduce foot pain.

 

Ice and Compression 

Cold compresses (ice packs) are most effective the first 24 hours after the injury to decrease swelling and shorten the time that you can begin weight-bearing.

 

Elevation

To help limit swelling and for pain management and to help decrease swelling of ankle bone breaks, we often recommend non-steroidal anti-inflammatory such as Ibuprofen. It is important to never take these on an empty stomach, always take with food to help prevent GI bleeding.

 

 

Surgical Treatment Options for a Broken Ankle

Ankle fractures often require surgical repair to replace the fractured pieces to normal anatomic alignment and put the ankle joint in the correct position. There are several reasons why an ankle fracture will require surgery. 

 

If the fracture is displaced or angulated, and the ankle joint is no longer aligned, surgery is required to realign the ankle joint. It is essential to align the ankle fracture to within 2 millimeters of original position for optimal long-term results. 

 

Ankle fractures involving joint cartilage can lead to arthritis in the joint. It is especially important that ankle fractures are reduced to return the anatomy to its normal position and alignment.

 

Ankle fractures will also require surgery if the ankle is broken in several places (called a bi-malleolar or tri-malleolar fracture). These types of ankle fractures are very unstable, and will require surgery to stabilize the joint. If these injuries are not stabilized with surgery, the bones will likely shift, causing a malalignment of the joint, which may lead to post-traumatic arthritis in the ankle.

 

Why UFAI is your Best Choice for Foot and Ankle Care


Using the most advanced techniques, some of which we helped develop, has allowed us to maintain the highest success rates in the nation for ankle injuries. Our goal is to quickly get you back on your feet, utilizing the least invasive treatments possible.

 

Patients are our number one priority. Beginning with the ease of making your appointment, our family friendly office staff is with you every step of the way. We have our own x-ray, musculoskeletal ultrasound and even an MRI and 3D CT and many of our facilities.

 

We also offer orthotic and brace manufacturing as well as on-site physical therapy services and state-of-the-art operating rooms. This means you will rarely have to go from one specialist to the next, cutting down on your travel needs and wasted time.

 

While most orthopedic surgeons focus on all the bones and joints in the body, only spending a fraction of their time on the foot and ankle, UFAI's surgeons choose to treat foot and ankle conditions as their lifework.

 

Podiatric foot and ankle surgeons concentrate exclusively on the foot and ankle from day one of medical school. After medical training they begin a rigorous three year surgical residency. What sets podiatric surgical residents apart from general orthopedic residents is they specialize on the foot and ankle while most (though not all) ortho residents do not.

 

Years of training and decades of experience and research is why the foot and ankle surgeons at UFAI have the highest success rates in the United States, literally helping thousands get back on their feet and back to their life.

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