The other option involves fitting plates and screws along the back of the tibia. One option involves inserting screws that run from the front to the back of the ankle or the other way around. Most ankle fractures are malleolar fractures: 6070 are unimalleolar (lateral being most common), 1520 are bimalleolar, and 712 are trimalleolar (medial, lateral, and posterior malleoli) ( 2 ). Ankle fractures are commonly a low-energy fracture of either the lateral or medial malleolus, or both, and can include a fracture of the posterior malleolus. There are different options for surgery on this malleolus. Very common: 187 ankle fractures per 100,000 people each year ( 1) Fractures to ankle or midfoot occur in <15 of ankle sprains. Most inversion injuries result in an isolated sprain of the anterior talofibular ligament. Bone grafting can reduce the risk of arthritis.Ī surgeon can fix bone fragments using screws, plates, and wiring techniques. Isolated lateral malleolus fractures are the most common fracture involving the ankle. When this occurs, a surgeon may need to do a bone graft, which acts as a frame on which new bone can grow. The typical ankle sprain results in tearing to the lateral ankle ligaments. There are different types of ankle fractureslateral malleolus and bimalleolar fractures, for exampleall of which are defined by exactly which parts of the ankle are affected. Soft Tissue Scarring within the ankle joint. Patients usually describe a fall with a rotational injury to the lower limb. Sometimes, a medial malleolus fracture may result in impaction of the ankle joint, which is when force drives one bone into another. Treatment Broken ankles may involve one or more of the three bones of the ankle jointthe tibia, fibula, and talus. Ankle fractures typically present with pain and swelling at the ankle joint. Surgery on the medial malleoli can improve the chances of successful healing and allow the person to resume normal movement sooner. The surgeon will then attach screws and metals plates to the outer surface of the bone to hold them in place.įor some people, the surgeon may insert a screw or rod inside the bone to keep the bone fragments together as they heal. Share on Pinterest A person often requires intensive surgery after a trimalleolar fracture.Īs trimalleolar fractures are often unstable, a doctor will usually recommend surgery as treatment.Įach fracture will require a specific repair procedure during the surgery.įirstly, the surgeon will realign the bone fragments, returning them to their original position.
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