An Ankle fracture or broken ankle is normally caused by the ankle twisting or rolling from tripping, falling, or as a result of an accident. The ankle joint where the tibia, fibula, and talus meet, and the syndesmosis joint, the joint between the tibia and fibula are the two joints that are involved in ankle fractures.
Ankle fractures can vary from a simple crack in one bone, which may not stop you from walking to multiple fractures, which forces your ankle out of place. Some fractures may involve injuries to ankle ligaments that keep the ankle bones and joint in its normal position.
These symptoms may indicate a Broken Ankle (Treatment in Koramangala, Bangalore| Dr.Rewat Laxman)
1. Instant and severe pain at the site of the fracture, which can outspread from the foot to the knee.
2. Swelling, which may occur along the length of the leg or be more localized at the ankle.
3. Bruising and tenderness to the touch.
4. Reduced ability to walk. It is probably to walk or bear weight upon the ankle with less severe fractures. At no time rely on walking as a test of whether the ankle is fractured.
5. Deformity or bones protruding through the skin, a disorder known as an open ankle fracture. These types of ankle fractures necessitate immediate treatment to avoid complications like infection.
Most patients with ankle fractures are treated in an emergency room or at doctor’s clinic itself. An X-ray of the injured ankle may be taken to determine what the fracture looks like, which bones are broken, how detached or displaced the bones are, and to find out the state of the bone itself. The X-ray will help determine the proper course of treatment. In some cases, special x-rays called stress x-rays are required.
If your ankle and the broken bone is not out of place or just barely out of place, you may not require surgery. The type of treatment may also be based on where the bone is cracked. [Refer Broken Ankle Treatment in Koramangala, Bangalore| Dr.Rewat Laxman]
1. Elevation and use of ice to decrease painful swelling and reduce the risk of damage to the neighboring tissue.
2. A splint, worn for several days, may be positioned to support the broken ankle and allow room for swelling. If the injured ankle is not displaced, the splint may be applied instantly without touching the broken ankle. However, if the bones are displaced and/or the ankle joint is dislocated, a closed reduction is done while the splint is positioned.
3. This Broken Ankle Treatment in Koramangala, Bangalore| Dr.Rewat Laxman may comprise of setting the tibia or fibula bones (even both) and ankle joint to improve the position and pain in the ankle. This treatment may need some type of anesthesia.
4. Rest and evading weight bearing upon the ankle is crucial to healing appropriately. The use of crutches, walkers, and wheelchairs are typically suggested, depending on the severity and type of ankle fracture.
5. In many cases, a patient will not be able to place any weight on the ankle for several days, weeks or even months. The physician will make this determination.
6. A cast or fracture boot can be applied to a fractured ankle once the early swelling goes down. These are most regularly used to treat fractures where one bone is marginally displaced and not demanding surgery. A cast and a boot both can offer adequate immobilization and safety to the ankle.
7. A cast cannot get wet or be removed without special tools. A boot can be removed for bathing and sleeping. The kind of fracture and the physician’s judgment will determine the best type of immobilization. The cast or boot is worn until the fracture is entirely healed, which typically takes two to three months.
8. The requirement for a surgical procedure will mainly depend on the way the ankle joint posture on the X-ray and the exact type of fracture. Gravely displaced fractures and fractures of both the tibia and fibula generally require a surgery. During this kind of a surgery, the bone fragments are relocated into their normal position and are joined with distinct screws and plates of metal attached to the outer portion of the bone.
9. In some cases, a screw or rod inside the bone could be used to keep the bone fragments together while they restore. Restoring the position of the broken bone is important to full recovery because ankle arthritis can occur if a fracture heals inappropriately. The best way to minimize the risk of arthritis is to restore the ankle to as close to normal as possible.
There could be few complications from a broken ankle, although there is a higher risk among diabetic patients and those who smoke. An orthopedic surgeon may recommend a program of rehabilitation and strengthening. Range-of-motion exercises are vital but keeping weight off the ankle is just as significant. The tibia and fibula are more likely to involve in Ankle fractures in children, which typically includes the growth plates. Growth plate fractures in the ankle often necessitate immediate care since the long-term consequences may include legs that grow twisted or of unequal length. A child who breaks an ankle should be checked often for up to two years to ensure that growth proceeds properly. Click on Broken Ankle Treatment in Koramangala, Bangalore| Dr.Rewat Laxman for expert consultation and treatment.