Bimalleolar ankle fracture surgery1/1/2024 It involves fixing the fibular bone with screws and a plate and the medial side of the ankle with screws (rarely a plate), and the posterior malleolus with screws and a plate. Due to the nature of the injury there is however increased risk of developing post traumatic ankle arthritis even despite surgery. This operation has good outcomes in terms of pain relief and return to activities of daily living. The operation is undertaken under a general anaesthetic and patients usually require an overnight stay in hospital. The operation is usually carried out through two incisions on the outer and inner aspect of the ankle. It involves fixing the fibular bone with screws and a plate and the medial side of the ankle with screws (rarely a plate). The operation is usually carried out through an incision at the back of the ankle. The operation is undertaken under a general anaesthetic and patients usually require an overnight stay in hospital. Surgery involves reducing the fracture (restoring the anatomy), and then fixing the posterior malleolus typically with screws and a plate. The operation is undertaken under a general anaesthetic and patients usually require an overnight stay in hospital.Ī – an x-ray demonstrating isolated medial malleolus fracture (white circle), B – an x-ray showing a successful fracture fixation with two screws The operation is usually carried out through one incisions on the outer aspect of the ankle. It involves reducing the fracture (restoring the anatomy), and then fixing the fibular bone with screws and a plate. This operation has excellent outcomes in terms of pain relief and return to activities of daily living. There is usually a window of up to 2 weeks to fix an ankle fracture, before the body starts to heal the fracture, which then makes it more difficult. Operating while the foot is too swollen increases the risk of wound breakdown and infection. It may be necessary to delay surgery for a week or so until the swelling has gone down. Mr Malik, Consultant Orthopaedic Foot and Ankle Surgeon has over 15 years experience of fixing ankle fractures and has undertaken hundreds of ankle fracture procedures with excellent results.Īnkle fractures are best fixed once the soft tissue swelling has subsided. Patients should understand that the decision to undergo surgery should not be taken lightly.Ī variety of surgical options exist which need to be tailored to the individual and the actual fracture. Surgical management is reserved for patients who have an unstable fracture configuration, patients who require early return to sports and function or have failed to respond to non operative treatment.
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