Transcript Ankle Fracture Roxana Citu & Bazla Sukhera The ankle is a hinge

• The ankle is a hinge type
joint that connects the leg
to the foot. It consists of
the tibia, fibula and the
talus.
• An ankle fracture is a break
of one or more of the bones
that make up the ankle.
Pain at the site of the fracture, which in some
cases can extend from the foot to the knee.
Significant swelling, which may occur along the
length of the leg or may be more localized.
Blisters may occur over the fracture site. These
should be promptly treated by your surgeon.
Bruising, which develops soon after the injury.
Inability to walk—however, it is possible to
walk with less severe breaks, so never rely on
walking as a test of whether a bone has been
fractured.
Change in the appearance of the ankle so that
it differs from the other ankle.
• Ankle fractures result when the ankle is forced
inward or outward past its normal range of
motion.
This can occur when:
• jumping , running athlete lands on an uneven
surface.
• foot is firmly planted and the body gets
twisted.
Sports most commonly associated with ankle
fractures include:
• Basketball, Football, Baseball and Soccer
• Taping, bracing, and high top
shoes may help prevent some
ankle fractures.
• Maintaining excellent ankle
muscle strength and balance
will also help.
Surgery is often needed to stabilize ankle fractures. Usually, the surgery
involves the placement of screws and plates.
The patient then is placed in a cast or splint after surgery for a variable
period of time depending on the severity of the fracture. This can range from a
few days to 2 weeks until the swelling goes down around the joint.
Weight bearing may be delayed until there is evidence of early fracture
healing. This may take 4-8 weeks depending on the severity of the
fracture.
Cost: $27,848 Open treatment of ankle dislocation, with or without
skeletal fixation; with repair or internal or external fixation
1. Incision of the ankle to expose joint
2. The joint is fixed with a plate
3. Screws are drilled in to keep the plate in place
4. Screws and checked and tightened
5. Incision is closed together with stitches.
– Physical Therapy and Home Exercises
– Strengthening exercises will help muscle
around bone grow back so you can become
strong enough to walk without a limp.
– Consistency is key
Origin
People who smoke, have diabetes, or are elderly are at a
higher risk for complications after surgery, including
problems with wound healing. This is because it may take
longer for their bones to heal.
General surgical risks include:
Infection
Bleeding
Pain
Blood clots in your leg
Damage to blood vessels, tendons, or nerves
Normal Ankle X-ray
Fractured Ankle X-ray
Surgery with Plate and Screw
http://www.youtube.com/watch?v=LPG4LoiWFx0 (ankle fracture surgery)
http://www.youtube.com/watch?v=qKeJd0j2J4E (fibula fracture, similar to ankle surgery, clearer
view)
Bibliography
• www.emedx.com 2009
• http://www.emedicinehealth.com/ankle_fr
acture/page7_em.htm 2009
• http://www.footphysicians.com/footanklei
nfo/ankle-fracture.htm. 2008
• http://orthoinfo.aaos.org/topic.cfm?topic=
A00391 2009
• Fractures of the Foot and Ankle: Diagnosis and
Treatment of Injury and Disease
By: Informa Healthcare 2005