$Bimalleolar fracture$

$bimalleolar fracture$

#Bimalleolar fracture full#

Any patients that have with evidence of an open fracture should be managed accordingly. Initial management requires immediate fracture reduction, usually performed under sedation in the Emergency Department, to realign the fracture to anatomical alignment. This system is based on the ankle position at the time of injury and the deforming force involved, and is much more detailed than the Weber classification. In orthopaedic practice, the Lauge-Hansen classification is more widely used. The more proximal the injury, the higher the likelihood of ankle instability consequently, Type C fractures almost always need surgical fixation. Type C = above the level of the syndesmosis.Type B = at the level of the syndesmosis.The most common classification used, especially within the Emergency Department, is the Weber classification, which classifies lateral malleolus fractures: Crudely, they can be described as isolated lateral malleolar fractures, isolated medial malleolar fractures, bimalleolar fractures ( = medial + lateral malleolar fracture), and trimalleolar fractures ( = medial + lateral + posterior malleolar fracture). The brace is usually only a temporary precaution for a few months.Figure 1 вЂ“ The ankle is comprised of the tibia, fibula, and talus ClassificationДЄnkle fractures can be described anatomically. Once your injury has fully healed, your doctor may still recommend that you wear a light ankle brace when youвЂ™re most active, usually during sports activities. Your doctor may remove your pins or screws once your ankle is fully recovered, especially if they cause you discomfort. Talk to your doctor about removal of pins and screws.

#Bimalleolar fracture full#

Depending on your injury, your doctor may prescribe some physical therapy to help you regain full mobility and use of your injured ankle. It may also require you to have additional surgery. If you put weight on your ankle too soon, you can slow the healing process and increase your pain. You should not put any weight on your ankle until your doctor approves it, even when youвЂ™re in a cast or brace. Be sure to only take the medication as prescribed by your doctor, and be sure to discuss any concerns you have about your medication.ДЄvoid putting weight on your ankle. Be aware that many prescription pain medications can cause dependency. You can take over-the-counter or prescription pain medications provided by your doctor. Tips for aftercare during recovery include: ItвЂ™s not uncommon for some people to take up to 2 years to reach a complete recovery and return all normal activities without a limp.

$bimalleolar fracture$

4 to 6 months: You can typically return to sports activities.3 to 4 months: You can typically return to normal activities, excluding sports.9 to 12 weeks: You can return to driving.6 weeks: Your doctor will remove the cast.Your recovery time can be affected by other health conditions, the severity of your injury, the extent of your surgery, and whether you smoke. However, no two people will recover at the same speed because there are so many variables that affect recovery. If you also had damaged tendons or ligaments, then those may take longer to heal. It takes about six weeks for a bone to heal after a fracture.

$bimalleolar fracture$

If treatment was delayed and a deformity is apparent, then an additional surgery at a later time may be necessary to correct any deformity that remains. However, the type of cast or brace depends on the extent of the surgical procedure and the severity of your injury. The cast is usually a half-leg cast, which means it stops at your knee. Bone grafting may also help reduce the chance of developing arthritis later.ДЄfter surgery, your doctor will put you in a cast, splint, or brace, depending on your situation. This can help you regrow bones that have shattered into too many pieces to pin or wire back together. The surgeon may also need to perform a bone graft. The surgical procedure may include some of the following options to stabilize your ankle: The exact procedure your doctor uses depends on the severity of your injury. The goal of surgery is to stabilize your ankle and help speed the healing process. Your doctor may recommend an over-the-counter or prescription pain medication as part of your treatment plan. Nonsurgical treatment would be recommended only if surgery would pose too high of a risk to you due to other health conditions. Surgery is usually the recommended treatment. A trimalleolar fracture is an unstable type of ankle fracture.

$Bimalleolar fracture$