$bimalleolar fracture orthobullets$

The aim of this study was to provide a systematic literature review to outline existing PMF classifications and estimate their accuracy. Many classifications describing posterior malleolar fractures (PMF) exist. Your doctor may also recommend that you wear an ankle brace for sports for several months after your fracture has healed.Complex ankle fractures frequently involve the posterior malleolus. If you put weight on the injured ankle too early, the fracture fragments may move out of place, and the fracture may not heal. It is very important to follow your doctor's instructions about weightbearing. They may also refer you to a physical therapist to start an exercise program. Your doctor will let you know when you can start putting weight on your ankle. Rehabilitation usually begins after your fractures have started to heal and your cast or walking boot has been removed. Rehabilitation is the key to your recovery, no matter which type of treatment you received. It is important to use opioids only as directed by your doctor and to stop taking them as your pain begins to improve. Your doctor may use a combination of these medications to manage your pain, as well as minimize the need for opioids.īe aware that although opioids help relieve pain after surgery or an injury, they are a narcotic and can be addictive. Many types of oral medicines are available to help manage pain, including opioids, non-steroidal anti-inflammatory drugs (NSAIDs), and over-the-counter pain medication such as acetaminophen. If you have not had surgery, you will be taking oral medication from the start. You will then be switched to oral pain medication. Typically, you will be given pain medicine intravenously (through an IV) in the first few hours after surgery. Your doctor and nurses will work to reduce your pain. Pain ManagementĪfter surgery, you will likely feel pain because this is a natural part of the healing process. This is typically done in the first 6 weeks. Regardless of the type of treatment you receive, your doctor will most likely monitor the bone healing with repeated X-rays. While most ankle fractures take at least 6 weeks to heal, it may take longer for any involved ligaments and tendons to heal. The healing time for ankle fractures can vary depending on the extent of the injury. Surgical repair of a syndesmosis injury and lateral malleolus fracture.

$bimalleolar fracture orthobullets$

This is usually done with a plate and screws. While you are in the cast, your doctor will take X-rays to make sure that the bones do not slip out of place.īecause there are injuries to both sides of the ankle, most bimalleolar fractures need surgical repair. During this time, you cannot put weight on your ankle. Since there are injuries to both sides of the ankle, bimalleolar fractures are frequently unstable, and the ankle is often dislocated.Ī stable bimalleolar fracture may be treated with cast immobilization for several weeks. Bimalleolar Fracture and Bimalleolar Equivalent FractureĪ bimalleolar fracture occurs when both the medial malleolus and lateral malleolus are broken. Typically, the surgical repair is done by placing screws in the lower tibia from front to back. Surgical fixation is required if the fracture is large and out of place.

$bimalleolar fracture orthobullets$

Treatment may involve wearing a short leg cast or a removable brace. Many posterior malleolus fractures are small and do not require surgery. This is due to attachments of ligaments between the two bones. Most posterior malleolus fractures are associated with another injury, usually a fracture of the lateral malleolus. Because MRI scans are more sensitive than other imaging tests, they may be used to detect ligaments injuries.Ī posterior malleolus fracture is a fracture of the back of the tibia. MRI scans provide high-resolution images of both bones and soft tissue structures, like ligaments. It is helpful in evaluating the extent of the injury to the ankle joint. A CT scan provides detailed cross-sectional X-ray images of the ankle and is sometimes done to further evaluate the ankle injury.

$bimalleolar fracture orthobullets$

This X-ray is done to determine if the syndesmosis (area between the lower tibia and fibula) is injured.Ĭomputed tomography (CT) scan. Your doctor may also take X-rays of the leg and foot to make sure there are no other injuries.ĭepending on the type of ankle fracture, your doctor may put pressure on the ankle and take a special X-ray called a stress X-ray. They can also show how many pieces of broken bone there are. They can show where the bones are broken and if any of the bones are out of place (displaced).

$bimalleolar fracture orthobullets$

X-rays provide images of dense structures such as bone. X-rays. Most ankle fractures can be diagnosed with X-rays. If your doctor suspects an ankle fracture, they will order one or more of the following imaging tests to diagnose and evaluate the fracture After discussing your medical history and how the injury occurred, your doctor will do a careful examination of your ankle, lower leg, and foot.

$bimalleolar fracture orthobullets$

Bimalleolar fracture orthobullets